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 $14.45 Typical High $25.70 | Facility | None | $8.71 | $14.45 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.62 Typical High $8.13 | Professional | None | $5.01 | $5.62 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $16.22 Typical High $18.20 | Facility | None | $9.33 | $16.22 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $6.61 Typical High $9.77 | Professional | None | $3.31 | $6.61 | $9.77 |
Kaiser Permanente Setting Professional Modifier None Typical Low $11.75 Median $14.45 Typical High $16.60 | Professional | None | $11.75 | $14.45 | $16.60 |
Moda Health Setting Facility Modifier None Typical Low $5.75 Median $16.22 Typical High $95.50 | Facility | None | $5.75 | $16.22 | $95.50 |
Moda Health Setting Professional Modifier None Typical Low $5.01 Median $5.75 Typical High $10.00 | Professional | None | $5.01 | $5.75 | $10.00 |
Pacific Source Setting Facility Modifier None Typical Low $5.75 Median $6.61 Typical High $11.48 | Facility | None | $5.75 | $6.61 | $11.48 |
Pacific Source Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Providence Setting Facility Modifier None Typical Low $5.62 Median $8.32 Typical High $17.38 | Facility | None | $5.62 | $8.32 | $17.38 |
Providence Setting Professional Modifier None Typical Low $5.75 Median $6.46 Typical High $79.43 | Professional | None | $5.75 | $6.46 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $11.75 Median $19.50 Typical High $25.70 | Facility | None | $11.75 | $19.50 | $25.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $4.37 Median $4.68 Typical High $6.46 | Professional | None | $4.37 | $4.68 | $6.46 |
United Setting Facility Modifier None Typical Low $6.92 Median $8.71 Typical High $9.33 | Facility | None | $6.92 | $8.71 | $9.33 |
United Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $6.03 | Professional | None | $3.47 | $3.47 | $6.03 |
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 $5.62 Median $6.03 Typical High $18.62 | Professional | QW · Waived lab test | $5.62 | $6.03 | $18.62 |
Where Oregon sits
The same service costs 7.9 times more in Minnesota than in New York. 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
$6.76
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.