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 $0.76 Median $0.91 Typical High $1.95 | Facility | None | $0.76 | $0.91 | $1.95 |
Aetna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $1.05 | Professional | None | $0.76 | $0.76 | $1.05 |
Cigna Setting Facility Modifier None Typical Low $1.00 Median $1.05 Typical High $1.58 | Facility | None | $1.00 | $1.05 | $1.58 |
Cigna Setting Professional Modifier None Typical Low $0.66 Median $0.76 Typical High $0.85 | Professional | None | $0.66 | $0.76 | $0.85 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.38 Median $1.70 Typical High $1.74 | Professional | None | $1.38 | $1.70 | $1.74 |
Moda Health Setting Facility Modifier None Typical Low $0.76 Median $1.82 Typical High $6.76 | Facility | None | $0.76 | $1.82 | $6.76 |
Moda Health Setting Professional Modifier None Typical Low $0.76 Median $0.91 Typical High $2.00 | Professional | None | $0.76 | $0.91 | $2.00 |
Pacific Source Setting Facility Modifier None Typical Low $0.71 Median $0.95 Typical High $1.58 | Facility | None | $0.71 | $0.95 | $1.58 |
Providence Setting Facility Modifier None Typical Low $0.76 Median $1.07 Typical High $1.58 | Facility | None | $0.76 | $1.07 | $1.58 |
Providence Setting Professional Modifier None Typical Low $0.66 Median $0.76 Typical High $0.91 | Professional | None | $0.66 | $0.76 | $0.91 |
United Setting Professional Modifier None Typical Low $0.69 Median $0.69 Typical High $0.78 | Professional | None | $0.69 | $0.69 | $0.78 |
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 $0.72 Median $0.95 Typical High $2.00 | Professional | JZ · No drug discarded | $0.72 | $0.95 | $2.00 |
Where Oregon sits
The same service costs 5.2 times more in Vermont than in Rhode Island. 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
$0.91
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.