go back

Low Osmolar Contrast Material, Iodine 100-199 mg/mL

Oregon rates for HCPCS Q9965

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$20%50%10th90th$1Professionalmedian $1 · 10th–90th $1$20%50%10th90th$1$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.17
Typical High
$2.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.70
Typical High
$2.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.26
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.24
Typical High
$3.39
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.83
Median
$1.15
Typical High
$1.86
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.32
Typical High
$1.95
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$0.89
Median
$0.95
Typical High
$2.57
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$1.10
Typical High
$2.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.45
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$1.15
United
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$1.82