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 $63.10 Median $63.10 Typical High $114.82 | Facility | None | $63.10 | $63.10 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $25.70 | Professional | None | $24.55 | $24.55 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $70.79 Typical High $79.43 | Facility | None | $41.69 | $70.79 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $28.84 Typical High $42.66 | Professional | None | $15.14 | $28.84 | $42.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $52.48 Median $64.57 Typical High $75.86 | Professional | None | $52.48 | $64.57 | $75.86 |
Moda Health Setting Facility Modifier None Typical Low $19.05 Median $25.70 Typical High $70.79 | Facility | None | $19.05 | $25.70 | $70.79 |
Moda Health Setting Professional Modifier None Typical Low $24.55 Median $25.70 Typical High $34.67 | Professional | None | $24.55 | $25.70 | $34.67 |
Pacific Source Setting Facility Modifier None Typical Low $25.70 Median $31.62 Typical High $56.23 | Facility | None | $25.70 | $31.62 | $56.23 |
Providence Setting Facility Modifier None Typical Low $24.55 Median $37.15 Typical High $79.43 | Facility | None | $24.55 | $37.15 | $79.43 |
Providence Setting Professional Modifier None Typical Low $25.70 Median $28.18 Typical High $79.43 | Professional | None | $25.70 | $28.18 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $51.29 Median $87.10 Typical High $114.82 | Facility | None | $51.29 | $87.10 | $114.82 |
Regence BlueShield Setting Professional Modifier None Typical Low $19.05 Median $20.42 Typical High $28.18 | Professional | None | $19.05 | $20.42 | $28.18 |
United Setting Facility Modifier None Typical Low $30.90 Median $38.02 Typical High $40.74 | Facility | None | $30.90 | $38.02 | $40.74 |
United Setting Professional Modifier None Typical Low $10.72 Median $11.22 Typical High $30.90 | Professional | None | $10.72 | $11.22 | $30.90 |
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 $25.70 Median $25.70 Typical High $37.15 | Professional | QW · Waived lab test | $25.70 | $25.70 | $37.15 |
Where Oregon sits
The same service costs 3.8 times more in Alaska than in Alabama. 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· 15th of 51
$28.18
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.