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 $28.18 Median $58.88 Typical High $107.15 | Facility | None | $28.18 | $58.88 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $36.31 | Professional | None | $23.44 | $28.18 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $66.07 Typical High $97.72 | Facility | None | $38.90 | $66.07 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $26.92 Typical High $43.65 | Professional | None | $18.62 | $26.92 | $43.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $70.79 | Professional | None | $48.98 | $60.26 | $70.79 |
Moda Health Setting Facility Modifier None Typical Low $23.99 Median $67.61 Typical High $131.83 | Facility | None | $23.99 | $67.61 | $131.83 |
Moda Health Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $58.88 | Professional | None | $21.88 | $28.18 | $58.88 |
Pacific Source Setting Facility Modifier None Typical Low $23.99 Median $26.92 Typical High $47.86 | Facility | None | $23.99 | $26.92 | $47.86 |
Pacific Source Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Providence Setting Facility Modifier None Typical Low $22.91 Median $34.67 Typical High $95.50 | Facility | None | $22.91 | $34.67 | $95.50 |
Providence Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $79.43 | Professional | None | $23.99 | $28.84 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $47.86 Median $85.11 Typical High $107.15 | Facility | None | $47.86 | $85.11 | $107.15 |
Regence BlueShield Setting Professional Modifier None Typical Low $18.20 Median $20.42 Typical High $30.90 | Professional | None | $18.20 | $20.42 | $30.90 |
United Setting Facility Modifier None Typical Low $28.84 Median $36.31 Typical High $38.90 | Facility | None | $28.84 | $36.31 | $38.90 |
United Setting Professional Modifier None Typical Low $10.00 Median $13.80 Typical High $28.84 | Professional | None | $10.00 | $13.80 | $28.84 |
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 $23.99 Median $23.99 Typical High $33.88 | Professional | QW · Waived lab test | $23.99 | $23.99 | $33.88 |
Where Oregon sits
The same service costs 6.5 times more in Vermont 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
$30.20
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.