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 $16.60 Median $28.84 Typical High $63.10 | Facility | None | $16.60 | $28.84 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $16.60 Typical High $21.38 | Professional | None | $13.80 | $16.60 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $39.81 Typical High $58.88 | Facility | None | $23.44 | $39.81 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $25.70 | Professional | None | $10.96 | $16.22 | $25.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $41.69 | Professional | None | $29.51 | $36.31 | $41.69 |
Moda Health Setting Facility Modifier None Typical Low $14.13 Median $47.86 Typical High $100.00 | Facility | None | $14.13 | $47.86 | $100.00 |
Moda Health Setting Professional Modifier None Typical Low $13.49 Median $16.98 Typical High $34.67 | Professional | None | $13.49 | $16.98 | $34.67 |
Pacific Source Setting Facility Modifier None Typical Low $14.13 Median $17.78 Typical High $28.84 | Facility | None | $14.13 | $17.78 | $28.84 |
Pacific Source Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $28.84 | Professional | None | $14.13 | $14.13 | $28.84 |
Providence Setting Facility Modifier None Typical Low $13.80 Median $21.88 Typical High $58.88 | Facility | None | $13.80 | $21.88 | $58.88 |
Providence Setting Professional Modifier None Typical Low $14.13 Median $16.98 Typical High $79.43 | Professional | None | $14.13 | $16.98 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $28.84 Median $50.12 Typical High $63.10 | Facility | None | $28.84 | $50.12 | $63.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.72 Median $12.02 Typical High $18.20 | Professional | None | $10.72 | $12.02 | $18.20 |
United Setting Facility Modifier None Typical Low $16.98 Median $21.38 Typical High $22.91 | Facility | None | $16.98 | $21.38 | $22.91 |
United Setting Professional Modifier None Typical Low $6.03 Median $8.13 Typical High $16.98 | Professional | None | $6.03 | $8.13 | $16.98 |
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 $14.13 Median $14.13 Typical High $19.95 | Professional | QW · Waived lab test | $14.13 | $14.13 | $19.95 |
Where Oregon sits
The same service costs 9.5 times more in Vermont than in Indiana. 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
$19.05
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.