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 Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.24 | Professional | None | $2.95 | $2.95 | $3.24 |
Cigna Setting Facility Modifier None Typical Low $3.89 Median $4.17 Typical High $6.17 | Facility | None | $3.89 | $4.17 | $6.17 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $3.31 | Professional | None | $2.95 | $2.95 | $3.31 |
Kaiser Permanente Setting Professional Modifier None Typical Low $4.90 Median $6.61 Typical High $8.13 | Professional | None | $4.90 | $6.61 | $8.13 |
Moda Health Setting Facility Modifier None Typical Low $2.95 Median $3.09 Typical High $7.94 | Facility | None | $2.95 | $3.09 | $7.94 |
Moda Health Setting Professional Modifier None Typical Low $2.95 Median $3.09 Typical High $3.63 | Professional | None | $2.95 | $3.09 | $3.63 |
Pacific Source Setting Facility Modifier None Typical Low $2.95 Median $3.63 Typical High $6.03 | Facility | None | $2.95 | $3.63 | $6.03 |
Providence Setting Facility Modifier None Typical Low $2.95 Median $4.17 Typical High $10.23 | Facility | None | $2.95 | $4.17 | $10.23 |
Providence Setting Professional Modifier None Typical Low $2.95 Median $3.16 Typical High $3.89 | Professional | None | $2.95 | $3.16 | $3.89 |
Regence BlueShield Setting Facility Modifier None Typical Low $3.80 Median $5.50 Typical High $10.23 | Facility | None | $3.80 | $5.50 | $10.23 |
Regence BlueShield Setting Professional Modifier None Typical Low $2.75 Median $2.95 Typical High $2.95 | Professional | None | $2.75 | $2.95 | $2.95 |
United Setting Facility Modifier None Typical Low $2.95 Median $6.03 Typical High $7.08 | Facility | None | $2.95 | $6.03 | $7.08 |
United Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.55 | Professional | None | $3.09 | $3.09 | $3.55 |
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 EC · Anemia drug, other cause Typical Low $6.31 Median $6.31 Typical High $28.18 | Professional | EC · Anemia drug, other cause | $6.31 | $6.31 | $28.18 |
Where Oregon sits
The same service costs 2.7 times more in Wyoming than in New York. 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· 39th of 51
$2.95
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.