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 $34.67 Median $70.79 Typical High $154.88 | Facility | None | $34.67 | $70.79 | $154.88 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $35.48 Typical High $69.18 | Professional | None | $33.88 | $35.48 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $97.72 Typical High $144.54 | Facility | None | $57.54 | $97.72 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $26.30 Median $38.90 Typical High $69.18 | Professional | None | $26.30 | $38.90 | $69.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $57.54 Median $85.11 Typical High $91.20 | Professional | None | $57.54 | $85.11 | $91.20 |
Moda Health Setting Facility Modifier None Typical Low $34.67 Median $87.10 Typical High $223.87 | Facility | None | $34.67 | $87.10 | $223.87 |
Moda Health Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $81.28 | Professional | None | $31.62 | $41.69 | $81.28 |
Pacific Source Setting Facility Modifier None Typical Low $35.48 Median $44.67 Typical High $70.79 | Facility | None | $35.48 | $44.67 | $70.79 |
Providence Setting Facility Modifier None Typical Low $41.69 Median $57.54 Typical High $141.25 | Facility | None | $41.69 | $57.54 | $141.25 |
Providence Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $79.43 | Professional | None | $35.48 | $45.71 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $70.79 Median $123.03 Typical High $154.88 | Facility | None | $70.79 | $123.03 | $154.88 |
Regence BlueShield Setting Professional Modifier None Typical Low $27.54 Median $29.51 Typical High $41.69 | Professional | None | $27.54 | $29.51 | $41.69 |
United Setting Facility Modifier None Typical Low $41.69 Median $52.48 Typical High $56.23 | Facility | None | $41.69 | $52.48 | $56.23 |
United Setting Professional Modifier None Typical Low $14.79 Median $19.95 Typical High $41.69 | Professional | None | $14.79 | $19.95 | $41.69 |
2 more rates 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 Facility Modifier 90 · Outside lab Typical Low $7.08 Median $39.81 Typical High $100.00 | Facility | 90 · Outside lab | $7.08 | $39.81 | $100.00 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $35.48 Median $35.48 Typical High $47.86 | Professional | QW · Waived lab test | $35.48 | $35.48 | $47.86 |
Where Oregon sits
The same service costs 4.3 times more in Minnesota than in Maryland. 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
$47.86
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.