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 $51.29 Median $63.10 Typical High $131.83 | Facility | None | $51.29 | $63.10 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $70.79 | Professional | None | $51.29 | $51.29 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $95.50 Typical High $162.18 | Facility | None | $83.18 | $95.50 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $100.00 | Professional | None | $40.74 | $57.54 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $134.90 | Professional | None | $85.11 | $125.89 | $134.90 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $100.00 Typical High $223.87 | Facility | None | $51.29 | $100.00 | $223.87 |
Moda Health Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $131.83 | Professional | None | $51.29 | $60.26 | $131.83 |
Pacific Source Setting Facility Modifier None Typical Low $51.29 Median $64.57 Typical High $102.33 | Facility | None | $51.29 | $64.57 | $102.33 |
Pacific Source Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $83.18 Typical High $151.36 | Facility | None | $61.66 | $83.18 | $151.36 |
Providence Setting Professional Modifier None Typical Low $51.29 Median $56.23 Typical High $81.28 | Professional | None | $51.29 | $56.23 | $81.28 |
Regence BlueShield Setting Facility Modifier None Typical Low $87.10 Median $128.82 Typical High $177.83 | Facility | None | $87.10 | $128.82 | $177.83 |
Regence BlueShield Setting Professional Modifier None Typical Low $39.81 Median $43.65 Typical High $61.66 | Professional | None | $39.81 | $43.65 | $61.66 |
United Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $81.28 | Facility | None | $61.66 | $77.62 | $81.28 |
United Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $53.70 | Professional | None | $30.90 | $30.90 | $53.70 |
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 $34.67 Median $77.62 Typical High $125.89 | Professional | QW · Waived lab test | $34.67 | $77.62 | $125.89 |
Where Oregon sits
The same service costs 2.2 times more in Minnesota than in New Mexico. 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· 13th of 51
$61.66
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.