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 $33.88 Median $34.67 Typical High $61.66 | Facility | None | $33.88 | $34.67 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $13.49 Typical High $19.50 | Professional | None | $10.96 | $13.49 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $38.02 Typical High $48.98 | Facility | None | $22.39 | $38.02 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $15.49 Typical High $23.44 | Professional | None | $9.12 | $15.49 | $23.44 |
Kaiser Permanente Setting Professional Modifier None Typical Low $28.84 Median $35.48 Typical High $40.74 | Professional | None | $28.84 | $35.48 | $40.74 |
Moda Health Setting Facility Modifier None Typical Low $13.49 Median $16.60 Typical High $97.72 | Facility | None | $13.49 | $16.60 | $97.72 |
Moda Health Setting Professional Modifier None Typical Low $10.96 Median $13.80 Typical High $23.99 | Professional | None | $10.96 | $13.80 | $23.99 |
Pacific Source Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $28.18 | Facility | None | $13.80 | $19.50 | $28.18 |
Providence Setting Facility Modifier None Typical Low $13.80 Median $19.95 Typical High $48.98 | Facility | None | $13.80 | $19.95 | $48.98 |
Providence Setting Professional Modifier None Typical Low $13.80 Median $15.49 Typical High $79.43 | Professional | None | $13.80 | $15.49 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $27.54 Median $48.98 Typical High $61.66 | Facility | None | $27.54 | $48.98 | $61.66 |
Regence BlueShield Setting Professional Modifier None Typical Low $10.47 Median $11.75 Typical High $15.14 | Professional | None | $10.47 | $11.75 | $15.14 |
United Setting Facility Modifier None Typical Low $16.60 Median $20.89 Typical High $22.39 | Facility | None | $16.60 | $20.89 | $22.39 |
United Setting Professional Modifier None Typical Low $5.89 Median $6.92 Typical High $16.60 | Professional | None | $5.89 | $6.92 | $16.60 |
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 $12.30 Median $13.80 Typical High $57.54 | Professional | QW · Waived lab test | $12.30 | $13.80 | $57.54 |
Where Oregon sits
The same service costs 3.3 times more in Kansas than in New Jersey. 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
$15.85
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.