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 $30.20 Median $30.20 Typical High $54.95 | Facility | None | $30.20 | $30.20 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $16.98 | Professional | None | $11.75 | $11.75 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $33.88 Typical High $50.12 | Facility | None | $19.95 | $33.88 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $13.49 Typical High $23.99 | Professional | None | $9.12 | $13.49 | $23.99 |
Kaiser Permanente Setting Professional Modifier None Typical Low $20.42 Median $30.20 Typical High $32.36 | Professional | None | $20.42 | $30.20 | $32.36 |
Moda Health Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $54.95 | Facility | None | $12.30 | $12.30 | $54.95 |
Moda Health Setting Professional Modifier None Typical Low $11.75 Median $13.49 Typical High $19.95 | Professional | None | $11.75 | $13.49 | $19.95 |
Pacific Source Setting Facility Modifier None Typical Low $12.30 Median $15.14 Typical High $24.55 | Facility | None | $12.30 | $15.14 | $24.55 |
Pacific Source Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
Providence Setting Facility Modifier None Typical Low $14.79 Median $19.95 Typical High $50.12 | Facility | None | $14.79 | $19.95 | $50.12 |
Providence Setting Professional Modifier None Typical Low $12.30 Median $15.85 Typical High $79.43 | Professional | None | $12.30 | $15.85 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $24.55 Median $42.66 Typical High $54.95 | Facility | None | $24.55 | $42.66 | $54.95 |
Regence BlueShield Setting Professional Modifier None Typical Low $9.55 Median $10.47 Typical High $14.79 | Professional | None | $9.55 | $10.47 | $14.79 |
United Setting Facility Modifier None Typical Low $14.79 Median $18.20 Typical High $19.50 | Facility | None | $14.79 | $18.20 | $19.50 |
United Setting Professional Modifier None Typical Low $5.13 Median $6.92 Typical High $14.79 | Professional | None | $5.13 | $6.92 | $14.79 |
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 $12.30 Median $12.30 Typical High $17.38 | Professional | QW · Waived lab test | $12.30 | $12.30 | $17.38 |
Where Oregon sits
The same service costs 3.1 times more in Alaska than in Florida. 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· 18th of 51
$14.45
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.