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 $102.33 Median $107.15 Typical High $190.55 | Facility | None | $102.33 | $107.15 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $61.66 | Professional | None | $41.69 | $41.69 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $75.86 Typical High $128.82 | Facility | None | $67.61 | $75.86 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $79.43 | Professional | None | $33.11 | $46.77 | $79.43 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $100.00 Typical High $107.15 | Professional | None | $67.61 | $100.00 | $107.15 |
Moda Health Setting Facility Modifier None Typical Low $41.69 Median $58.88 Typical High $104.71 | Facility | None | $41.69 | $58.88 | $104.71 |
Moda Health Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $87.10 | Professional | None | $41.69 | $41.69 | $87.10 |
Pacific Source Setting Facility Modifier None Typical Low $41.69 Median $45.71 Typical High $77.62 | Facility | None | $41.69 | $45.71 | $77.62 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $67.61 Typical High $123.03 | Facility | None | $50.12 | $67.61 | $123.03 |
Providence Setting Professional Modifier None Typical Low $41.69 Median $45.71 Typical High $64.57 | Professional | None | $41.69 | $45.71 | $64.57 |
Regence BlueShield Setting Facility Modifier None Typical Low $70.79 Median $104.71 Typical High $144.54 | Facility | None | $70.79 | $104.71 | $144.54 |
Regence BlueShield Setting Professional Modifier None Typical Low $32.36 Median $35.48 Typical High $50.12 | Professional | None | $32.36 | $35.48 | $50.12 |
United Setting Facility Modifier None Typical Low $50.12 Median $61.66 Typical High $66.07 | Facility | None | $50.12 | $61.66 | $66.07 |
United Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $48.98 | Professional | None | $24.55 | $27.54 | $48.98 |
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 $41.69 Median $50.12 Typical High $120.23 | Professional | QW · Waived lab test | $41.69 | $50.12 | $120.23 |
Where Oregon sits
The same service costs 3.2 times more in Alaska than in Ohio. 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· 17th of 51
$45.71
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.