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 $141.25 Median $173.78 Typical High $316.23 | Facility | None | $141.25 | $173.78 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $72.44 Typical High $97.72 | Professional | None | $66.07 | $72.44 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $194.98 Typical High $257.04 | Facility | None | $114.82 | $194.98 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $79.43 Typical High $138.04 | Professional | None | $48.98 | $79.43 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $169.82 Typical High $181.97 | Professional | None | $114.82 | $169.82 | $181.97 |
Moda Health Setting Facility Modifier None Typical Low $70.79 Median $123.03 Typical High $316.23 | Facility | None | $70.79 | $123.03 | $316.23 |
Moda Health Setting Professional Modifier None Typical Low $67.61 Median $72.44 Typical High $134.90 | Professional | None | $67.61 | $72.44 | $134.90 |
Pacific Source Setting Facility Modifier None Typical Low $70.79 Median $79.43 Typical High $141.25 | Facility | None | $70.79 | $79.43 | $141.25 |
Pacific Source Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Providence Setting Facility Modifier None Typical Low $85.11 Median $114.82 Typical High $257.04 | Facility | None | $85.11 | $114.82 | $257.04 |
Providence Setting Professional Modifier None Typical Low $70.79 Median $77.62 Typical High $109.65 | Professional | None | $70.79 | $77.62 | $109.65 |
Regence BlueShield Setting Facility Modifier None Typical Low $141.25 Median $245.47 Typical High $316.23 | Facility | None | $141.25 | $245.47 | $316.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $54.95 Median $60.26 Typical High $85.11 | Professional | None | $54.95 | $60.26 | $85.11 |
United Setting Facility Modifier None Typical Low $85.11 Median $104.71 Typical High $112.20 | Facility | None | $85.11 | $104.71 | $112.20 |
United Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $85.11 | Professional | None | $29.51 | $36.31 | $85.11 |
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 $70.79 Median $70.79 Typical High $97.72 | Professional | QW · Waived lab test | $70.79 | $70.79 | $97.72 |
Where Oregon sits
The same service costs 4.0 times more in Alaska 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· 21st of 51
$77.62
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.