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 $51.29 Median $51.29 Typical High $234.42 | Facility | None | $51.29 | $51.29 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | None (both parts) | $51.29 | $51.29 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $95.50 Typical High $162.18 | Facility | None | $83.18 | $95.50 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Kaiser Permanente Setting Professional Modifier None Typical Low $89.13 Median $125.89 Typical High $151.36 | Professional | None | $89.13 | $125.89 | $151.36 |
Moda Health Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $194.98 | Facility | None | $51.29 | $51.29 | $194.98 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $64.57 | Professional | None (both parts) | $51.29 | $51.29 | $64.57 |
Pacific Source Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $61.66 | Facility | None | $51.29 | $51.29 | $61.66 |
Providence Setting Facility Modifier None Typical Low $61.66 Median $83.18 Typical High $151.36 | Facility | None | $61.66 | $83.18 | $151.36 |
Providence Setting Professional Modifier None (both parts) Typical Low $51.29 Median $56.23 Typical High $74.13 | Professional | None (both parts) | $51.29 | $56.23 | $74.13 |
Regence BlueShield Setting Facility Modifier None Typical Low $87.10 Median $128.82 Typical High $177.83 | Facility | None | $87.10 | $128.82 | $177.83 |
Regence BlueShield Setting Professional Modifier None (both parts) Typical Low $39.81 Median $43.65 Typical High $61.66 | Professional | None (both parts) | $39.81 | $43.65 | $61.66 |
United Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $81.28 | Facility | None | $61.66 | $77.62 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $21.38 Typical High $61.66 | Professional | None (both parts) | $21.38 | $21.38 | $61.66 |
2 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 |
|---|---|---|---|---|---|
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 26 · Professional part | $5.01 | $5.01 | $5.01 |
Moda Health Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $51.29 Typical High $69.18 | Professional | QW · Waived lab test | $51.29 | $51.29 | $69.18 |
Where Oregon sits
The same service costs 3.1 times more in Alaska 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· 20th of 51
$51.29
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.