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 $19.95 Median $40.74 Typical High $74.13 | Facility | None | $19.95 | $40.74 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $22.91 | Professional | None | $10.96 | $16.22 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $45.71 Typical High $51.29 | Facility | None | $26.92 | $45.71 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $18.62 Typical High $28.18 | Professional | None | $9.12 | $18.62 | $28.18 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $48.98 | Professional | None | $33.88 | $42.66 | $48.98 |
Moda Health Setting Facility Modifier None Typical Low $14.79 Median $16.60 Typical High $46.77 | Facility | None | $14.79 | $16.60 | $46.77 |
Moda Health Setting Professional Modifier None Typical Low $11.22 Median $16.60 Typical High $40.74 | Professional | None | $11.22 | $16.60 | $40.74 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $14.79 Median $22.39 Typical High $58.88 | Professional | QW · Waived lab test | $14.79 | $22.39 | $58.88 |
Pacific Source Setting Facility Modifier None Typical Low $16.60 Median $20.89 Typical High $36.31 | Facility | None | $16.60 | $20.89 | $36.31 |
Pacific Source Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | None | $16.60 | $16.60 | $16.60 |
Providence Setting Facility Modifier None Typical Low $15.85 Median $23.99 Typical High $48.98 | Facility | None | $15.85 | $23.99 | $48.98 |
Providence Setting Professional Modifier None Typical Low $16.22 Median $18.20 Typical High $79.43 | Professional | None | $16.22 | $18.20 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $33.11 Median $56.23 Typical High $74.13 | Facility | None | $33.11 | $56.23 | $74.13 |
Regence BlueShield Setting Professional Modifier None Typical Low $12.30 Median $13.49 Typical High $18.20 | Professional | None | $12.30 | $13.49 | $18.20 |
United Setting Facility Modifier None Typical Low $19.95 Median $24.55 Typical High $26.30 | Facility | None | $19.95 | $24.55 | $26.30 |
United Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $16.60 | Professional | None | $14.13 | $14.13 | $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 59 · Distinct service Typical Low $11.22 Median $23.99 Typical High $58.88 | Professional | 59 · Distinct service | $11.22 | $23.99 | $58.88 |
Where Oregon sits
The same service costs 3.2 times more in Alaska 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· 15th of 51
$18.20
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.