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 $0.83 Median $0.83 Typical High $0.83 | Facility | None | $0.83 | $0.83 | $0.83 |
Aetna Setting Professional Modifier None Typical Low $0.69 Median $0.69 Typical High $0.71 | Professional | None | $0.69 | $0.69 | $0.71 |
Cigna Setting Facility Modifier None Typical Low $0.91 Median $0.91 Typical High $1.45 | Facility | None | $0.91 | $0.91 | $1.45 |
Cigna Setting Professional Modifier None Typical Low $0.69 Median $0.69 Typical High $0.78 | Professional | None | $0.69 | $0.69 | $0.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1.05 Median $1.48 Typical High $2.19 | Professional | None | $1.05 | $1.48 | $2.19 |
Moda Health Setting Facility Modifier None Typical Low $0.69 Median $0.72 Typical High $1.07 | Facility | None | $0.69 | $0.72 | $1.07 |
Moda Health Setting Professional Modifier None Typical Low $0.69 Median $0.72 Typical High $0.85 | Professional | None | $0.69 | $0.72 | $0.85 |
Pacific Source Setting Facility Modifier None Typical Low $0.78 Median $0.85 Typical High $1.62 | Facility | None | $0.78 | $0.85 | $1.62 |
Providence Setting Facility Modifier None Typical Low $0.69 Median $1.00 Typical High $2.19 | Facility | None | $0.69 | $1.00 | $2.19 |
Providence Setting Professional Modifier None Typical Low $0.69 Median $0.76 Typical High $1.10 | Professional | None | $0.69 | $0.76 | $1.10 |
Regence BlueShield Setting Professional Modifier None Typical Low $0.66 Median $0.69 Typical High $0.69 | Professional | None | $0.66 | $0.69 | $0.69 |
United Setting Professional Modifier None Typical Low $0.72 Median $0.72 Typical High $0.83 | Professional | None | $0.72 | $0.72 | $0.83 |
3 more rates 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 $0.58 Median $5.01 Typical High $8.32 | Professional | EC · Anemia drug, other cause | $0.58 | $5.01 | $8.32 |
Moda Health Setting Professional Modifier JA · Given by IV Typical Low $1.95 Median $7.08 Typical High $9.77 | Professional | JA · Given by IV | $1.95 | $7.08 | $9.77 |
Moda Health Setting Professional Modifier JB · Given under the skin Typical Low $2.34 Median $7.08 Typical High $7.76 | Professional | JB · Given under the skin | $2.34 | $7.08 | $7.76 |
Where Oregon sits
The same service costs 2.5 times more in Wyoming than in Maine. 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· 35th of 51
$0.69
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.