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 $8.71 Median $15.14 Typical High $33.88 | Facility | None | $8.71 | $15.14 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $8.71 Typical High $10.47 | Professional | None | $7.24 | $8.71 | $10.47 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $20.89 Typical High $30.90 | Facility | None | $12.30 | $20.89 | $30.90 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $8.51 Typical High $14.79 | Professional | None | $5.75 | $8.51 | $14.79 |
Kaiser Permanente Setting Professional Modifier None Typical Low $15.85 Median $19.50 Typical High $22.39 | Professional | None | $15.85 | $19.50 | $22.39 |
Moda Health Setting Facility Modifier None Typical Low $7.59 Median $39.81 Typical High $154.88 | Facility | None | $7.59 | $39.81 | $154.88 |
Moda Health Setting Professional Modifier None Typical Low $7.24 Median $8.91 Typical High $37.15 | Professional | None | $7.24 | $8.91 | $37.15 |
Pacific Source Setting Facility Modifier None Typical Low $7.59 Median $11.22 Typical High $24.55 | Facility | None | $7.59 | $11.22 | $24.55 |
Providence Setting Facility Modifier None Typical Low $7.24 Median $11.48 Typical High $30.90 | Facility | None | $7.24 | $11.48 | $30.90 |
Providence Setting Professional Modifier None Typical Low $7.59 Median $9.12 Typical High $79.43 | Professional | None | $7.59 | $9.12 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $15.14 Median $26.30 Typical High $33.88 | Facility | None | $15.14 | $26.30 | $33.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $5.62 Median $6.46 Typical High $9.55 | Professional | None | $5.62 | $6.46 | $9.55 |
United Setting Facility Modifier None Typical Low $9.12 Median $11.22 Typical High $12.02 | Facility | None | $9.12 | $11.22 | $12.02 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.27 Typical High $9.12 | Professional | None | $3.16 | $4.27 | $9.12 |
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 $7.59 Median $10.00 Typical High $29.51 | Professional | QW · Waived lab test | $7.59 | $10.00 | $29.51 |
Where Oregon sits
The same service costs 21.4 times more in Vermont than in Maryland. 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· 16th of 51
$10.72
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.