How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $4.27 Median $8.91 Typical High $15.85 | Facility | None | $4.27 | $8.91 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $4.17 Typical High $5.01 | Professional | None | $3.47 | $4.17 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $5.89 Median $10.00 Typical High $14.45 | Facility | None | $5.89 | $10.00 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $4.07 Typical High $6.46 | Professional | None | $2.75 | $4.07 | $6.46 |
Kaiser Permanente Setting Professional Modifier None Typical Low $7.59 Median $9.33 Typical High $10.72 | Professional | None | $7.59 | $9.33 | $10.72 |
Moda Health Setting Facility Modifier None Typical Low $3.55 Median $6.76 Typical High $28.18 | Facility | None | $3.55 | $6.76 | $28.18 |
Moda Health Setting Professional Modifier None Typical Low $3.47 Median $4.17 Typical High $5.89 | Professional | None | $3.47 | $4.17 | $5.89 |
Pacific Source Setting Facility Modifier None Typical Low $3.55 Median $5.37 Typical High $7.41 | Facility | None | $3.55 | $5.37 | $7.41 |
Pacific Source Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.55 | Professional | None | $3.55 | $3.55 | $3.55 |
Providence Setting Facility Modifier None Typical Low $3.47 Median $5.50 Typical High $14.45 | Facility | None | $3.47 | $5.50 | $14.45 |
Providence Setting Professional Modifier None Typical Low $3.55 Median $4.27 Typical High $79.43 | Professional | None | $3.55 | $4.27 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $7.08 Median $12.59 Typical High $15.85 | Facility | None | $7.08 | $12.59 | $15.85 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.69 Median $3.02 Typical High $4.57 | Professional | None | $2.69 | $3.02 | $4.57 |
United Setting Facility Modifier None Typical Low $4.27 Median $5.37 Typical High $5.75 | Facility | None | $4.27 | $5.37 | $5.75 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.95 Typical High $4.27 | Professional | None | $2.14 | $2.95 | $4.27 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $3.55 Median $4.47 Typical High $6.31 | Professional | QW · Waived lab test | $3.55 | $4.47 | $6.31 |
Where Oregon sits
The same service costs 3.5 times more in Kansas than in Tennessee. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 14th of 51
$4.47
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.