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 $2.75 Median $4.79 Typical High $10.47 | Facility | None | $2.75 | $4.79 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $2.29 Median $2.75 Typical High $3.31 | Professional | None | $2.29 | $2.75 | $3.31 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $6.61 Typical High $9.55 | Facility | None | $3.89 | $6.61 | $9.55 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $2.57 Typical High $4.47 | Professional | None | $1.82 | $2.57 | $4.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.79 Median $5.89 Typical High $6.92 | Professional | None | $4.79 | $5.89 | $6.92 |
Moda Health Setting Facility Modifier None Typical Low $2.34 Median $10.47 Typical High $38.90 | Facility | None | $2.34 | $10.47 | $38.90 |
Moda Health Setting Professional Modifier None Typical Low $2.29 Median $2.75 Typical High $4.17 | Professional | None | $2.29 | $2.75 | $4.17 |
Pacific Source Setting Facility Modifier None Typical Low $2.34 Median $2.95 Typical High $4.57 | Facility | None | $2.34 | $2.95 | $4.57 |
Providence Setting Facility Modifier None Typical Low $2.29 Median $3.63 Typical High $9.55 | Facility | None | $2.29 | $3.63 | $9.55 |
Providence Setting Professional Modifier None Typical Low $2.34 Median $2.82 Typical High $79.43 | Professional | None | $2.34 | $2.82 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $4.79 Median $8.32 Typical High $10.47 | Facility | None | $4.79 | $8.32 | $10.47 |
Regence BlueShield Setting Professional Modifier None Typical Low $1.78 Median $2.00 Typical High $3.02 | Professional | None | $1.78 | $2.00 | $3.02 |
United Setting Facility Modifier None Typical Low $2.82 Median $3.55 Typical High $3.80 | Facility | None | $2.82 | $3.55 | $3.80 |
United Setting Professional Modifier None Typical Low $1.41 Median $1.95 Typical High $2.82 | Professional | None | $1.41 | $1.95 | $2.82 |
2 more rates 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 Facility Modifier 91 · Repeat lab test Typical Low $5.62 Median $13.80 Typical High $19.95 | Facility | 91 · Repeat lab test | $5.62 | $13.80 | $19.95 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $2.34 Median $2.75 Typical High $3.89 | Professional | QW · Waived lab test | $2.34 | $2.75 | $3.89 |
Where Oregon sits
The same service costs 17.0 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
$3.16
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.