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 $0.40 Median $0.49 Typical High $1.00 | Facility | None | $0.40 | $0.49 | $1.00 |
Aetna Setting Professional Modifier None Typical Low $0.40 Median $0.42 Typical High $1.05 | Professional | None | $0.40 | $0.42 | $1.05 |
Cigna Setting Facility Modifier None Typical Low $0.52 Median $0.63 Typical High $0.98 | Facility | None | $0.52 | $0.63 | $0.98 |
Cigna Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $0.49 | Professional | None | $0.40 | $0.40 | $0.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $0.69 Median $0.83 Typical High $0.85 | Professional | None | $0.69 | $0.83 | $0.85 |
Moda Health Setting Facility Modifier None Typical Low $0.40 Median $0.98 Typical High $7.94 | Facility | None | $0.40 | $0.98 | $7.94 |
Moda Health Setting Professional Modifier None Typical Low $0.40 Median $0.55 Typical High $1.45 | Professional | None | $0.40 | $0.55 | $1.45 |
Pacific Source Setting Facility Modifier None Typical Low $0.43 Median $0.54 Typical High $1.29 | Facility | None | $0.43 | $0.54 | $1.29 |
Providence Setting Facility Modifier None Typical Low $0.40 Median $0.63 Typical High $1.32 | Facility | None | $0.40 | $0.63 | $1.32 |
Providence Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $0.56 | Professional | None | $0.40 | $0.40 | $0.56 |
United Setting Professional Modifier None Typical Low $0.43 Median $0.43 Typical High $0.43 | Professional | None | $0.43 | $0.43 | $0.43 |
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 JZ · No drug discarded Typical Low $0.47 Median $0.83 Typical High $1.07 | Professional | JZ · No drug discarded | $0.47 | $0.83 | $1.07 |
Where Oregon sits
The same service costs 4.0 times more in Texas 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· 11th of 51
$0.52
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.