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 $23.99 Median $29.51 Typical High $53.70 | Facility | None | $23.99 | $29.51 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $16.98 | Professional | None | $11.75 | $14.13 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $33.11 Typical High $48.98 | Facility | None | $19.50 | $33.11 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $21.88 | Professional | None | $9.33 | $13.49 | $21.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $35.48 | Professional | None | $24.55 | $30.20 | $35.48 |
Moda Health Setting Facility Modifier None Typical Low $12.02 Median $30.20 Typical High $75.86 | Facility | None | $12.02 | $30.20 | $75.86 |
Moda Health Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $19.95 | Professional | None | $11.75 | $14.13 | $19.95 |
Pacific Source Setting Facility Modifier None Typical Low $12.02 Median $15.14 Typical High $23.99 | Facility | None | $12.02 | $15.14 | $23.99 |
Pacific Source Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Professional | None | $13.18 | $13.18 | $13.18 |
Providence Setting Facility Modifier None Typical Low $11.48 Median $18.62 Typical High $47.86 | Facility | None | $11.48 | $18.62 | $47.86 |
Providence Setting Professional Modifier None Typical Low $12.02 Median $14.45 Typical High $79.43 | Professional | None | $12.02 | $14.45 | $79.43 |
Regence BlueShield Setting Facility Modifier None Typical Low $23.99 Median $42.66 Typical High $53.70 | Facility | None | $23.99 | $42.66 | $53.70 |
Regence BlueShield Setting Professional Modifier None Typical Low $9.12 Median $10.23 Typical High $15.49 | Professional | None | $9.12 | $10.23 | $15.49 |
United Setting Facility Modifier None Typical Low $14.45 Median $18.20 Typical High $19.50 | Facility | None | $14.45 | $18.20 | $19.50 |
United Setting Professional Modifier None Typical Low $5.01 Median $6.92 Typical High $14.45 | Professional | None | $5.01 | $6.92 | $14.45 |
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 $12.02 Median $13.80 Typical High $20.89 | Professional | QW · Waived lab test | $12.02 | $13.80 | $20.89 |
Where Oregon sits
The same service costs 4.0 times more in Alaska than in Georgia. 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
$15.14
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.