CPT 85025
Complete blood count with differential
- Aetna
- $12.10
- Cigna
- Not available
- United
- $6.50
- Anthem
- $20.83
Hematology / Oncology reimbursement rates in Oregon
Explore hematology / oncology reimbursement rates in Oregon. Public state reference averages appear below. Detailed payer comparisons are available with a state preview.
1,699,377 national provider-rate observations4 payers in national source data50 states in national dataset20 billing codes in national dataset
Rate data shownJun–Jul 2026About these rates
Hematology / Oncology rate explorerThree reference services
Rate measure$ per reported billing unit
Billing contextProfessional
Oregon hematology / oncology reference averages
Publication period: Jun–Jul 2026CPT 99214
Established patient office visit, level 4
- Aetna
- $190.84
- Cigna
- $286.03
- United
- $349.30
- Anthem
- $265.90
CPT 96413
Chemotherapy infusion, initial hour
- Aetna
- $276.72
- Cigna
- $342.67
- United
- $396.61
- Anthem
- $474.15
National hematology / oncology rates by payer
Use the reference codes to compare payer benchmarks, then explore office visits; infusion administration; laboratory testing. Each rate represents a specific billing code and comparison cohort, rather than a complete episode of care.
Aetna state variation for 99214
LowerHigher
Oregon
Select a state to reveal payer percentiles and provider examples.National 99214 rate distribution
PayerMedian
Published rate$ per reported billing unit
$100$150$200$250$300
AetnaJun–Jul 2026
AetnaProviders21,726Average$149.54
$120.87median
CignaJun–Jul 2026
CignaProviders23,691Average$210.56
$172.35median
UnitedJun–Jul 2026
UnitedProviders24,449Average$216.73
$189.49median
AnthemJun–Jul 2026
AnthemProviders21,141Average$219.68
$194.48median
Each marker shows the national median published rate across billing entities for that payer.
National 99214 rates by payer
| Payer | Rate period | Provider entities | P25 | Median | P75 | P90 | Average |
|---|---|---|---|---|---|---|---|
| Aetna | Jun–Jul 2026 | 21,726 | $120.87 | $149.54 | |||
| Cigna | Jun–Jul 2026 | 23,691 | $172.35 | $210.56 | |||
| United | Jun–Jul 2026 | 24,449 | $189.49 | $216.73 | |||
| Anthem | Jun–Jul 2026 | 21,141 | $194.48 | $219.68 |
About these rates
About this rate table
- Source
- Negotiated or fee-schedule amounts published directly by payers in their machine-readable files.
- Rate shown
- Published commercial rate for established patient office visit, level 4 (99214).
- Method
- Eligible rates are grouped by payer and billing entity so the benchmarks use a consistent service and billing basis.
The state map uses one consistent Aetna reference series; it does not average already-aggregated payer values. The service-line table keeps unlike codes, settings, and billing units in separate comparisons.
How do specific hematology / oncology providers compare?
Compare named provider rates with the selected payer's median and percentile distribution.
National: Hematology / Oncology provider benchmarks (CPT 99214)
| Provider entity | State | Size | $ per service | Gap to median | Position in Aetna range |
|---|---|---|---|---|---|
| INDIANA HEMOPHILIA THROMBOSIS CENTER INCNPI 1003875535 · Tax ID 352047838 | OH | 88 | $69.88 | -$50.99 | Below P25 |
| ALLEN MEMORIAL HOSPITAL CORPORATIONNPI 1568756682 · Tax ID 420698265 | IA | 2,112 | $86.45 | -$34.42 | Below P25 |
| VALLEY TUMOR MEDICAL GROUP A MEDICAL CORPORATIONNPI 1669599296 · Tax ID 953275524 | FL | 13 | $95.10 | -$25.77 | Below P25 |
| INTEGRATED VISITING PHYSICIAN SOLUTIONS PCNPI 1154306355 · Tax ID 465568931 | MI | 55 | $104.09 | -$16.78 | P25 to median |
| COOPER HEALTH SYSTEMSNPI 1912932765 · Tax ID 222170196 | NJ | 757 | Median to P75 | ||
| MEMORIAL ENDOCRINE GROUPNPI 1558332023 · Tax ID 133278583 | NY | 22 | Above P75 |
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No trial or data preparation required.Explore hematology / oncology services
Compare codes within the same billing context. A reported billing unit may describe a timed service, supply quantity, daily service or procedure; it does not always mean one visit.
| Service line / billing code | Aetna | Cigna | United | Anthem |
|---|---|---|---|---|
$ per reported billing unit · 8 codes | ||||
99214Established patient office visit, level 4 | $149.54 | $210.56 | $216.73 | $219.68 |
99213Established patient office visit, level 3 | $102.24 | $144.45 | $149.51 | $152.74 |
99215Established patient office visit, level 5 | $210.21 | $298.20 | $295.10 | $304.71 |
99232Subsequent hospital inpatient or observation care, level 2 | $104.17 | $142.50 | $141.03 | $157.92 |
99233Subsequent hospital inpatient or observation care, level 3 | $146.22 | $214.29 | $204.55 | $228.50 |
99204New patient office visit, level 4 | $217.75 | $289.94 | $320.56 | $329.44 |
99205New patient office visit, level 5 | $283.92 | $379.32 | $408.09 | $421.97 |
99203New patient office visit, level 3 | $139.95 | $187.74 | $211.67 | $215.55 |
$ per reported billing unit · 4 codes | ||||
85025Complete blood count with differential | $10.53 | $18.77 | $9.21 | $16.57 |
82728Ferritin Protein Test For Iron | $19.15 | $29.30 | $16.15 | $28.50 |
83540Blood Test For Iron | $9.10 | $13.57 | $7.52 | $13.58 |
83550Iron Binding Capacity | $11.93 | $18.61 | $10.13 | $17.24 |
$ per reported billing unit · 8 codes | ||||
96375Therapeutic, prophylactic, or diagnostic injection, each additional sequential intravenous push of a new substance or drug | $29.71 | $36.64 | $37.16 | $46.61 |
96413Chemotherapy infusion, initial hour | $235.57 | $294.80 | $288.81 | $408.64 |
96367Therapeutic or diagnostic IV infusion, each additional sequential drug | $47.62 | $63.26 | $67.06 | $79.40 |
96365Iv Infusion | $105.16 | $139.20 | $148.12 | $175.88 |
96417Chemotherapy IV infusion, each additional sequential drug | $106.76 | $143.27 | $140.60 | $195.99 |
96415Infusion Of Chemotherapy | $47 | $63.16 | $61.93 | $89.26 |
96401Antineoplastic injection administration | $115.99 | $157.14 | $155.53 | $208.05 |
96366Ther Proph Diag Iv Inf Addon | $32.41 | $43.55 | $45.32 | $53.68 |
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Book a 20-min scoping call No trial or data preparation required.How to interpret these benchmarks
Payer-published rates provide market context. They do not establish a practice's contracted rate or the total cost of care.
- Source and periodRates come from the specialty's national report. The displayed period follows the processed data included in the latest published snapshot and updates when that snapshot is refreshed.
- Comparable ratesComparisons use positive professional fee-for-service negotiated and fee-schedule dollar amounts. Percentages, bundled arrangements and per-diem rate types are excluded. Modifier cohorts and code-specific amounts remain separate.
- CalculationRates are reduced to one modal value per NPI and TIN entity, averaging tied modes. Two percent per tail is targeted for trimming while keeping boundary ties. Benchmarks require at least 10 included entities and are not weighted by patient volume.
- CoverageNational report coverage does not guarantee every payer or state is available for every code. Anthem represents the displayed Anthem cohort, rather than all regional Blue plans. Missing benchmarks are not zero rates.
- Billing contextMatch the exact code, billing unit, modifier, setting and network. Equipment rentals and supplies require their own interval and quantity checks. Professional rates exclude facility charges; anesthesia conversion factors are outside these comparisons.
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Explore hematology / oncology rates by state
Choose a state to compare payer reference averages for common services.
Questions about hematology / oncology benchmarks
How to interpret the selected market and payer-published rates.
What does the national benchmark compare?
The headline uses Established patient office visit, level 4 (99214). The other reference codes and service lines provide separate comparisons rather than combining unlike services.
Why is a payer or state missing?
A benchmark appears only when the selected code and cohort meet the publication rules, including at least 10 entities after trimming. Report-wide coverage can be broader than an individual comparison.
Will the reporting period change?
Yes. The period displayed with the benchmark follows the processed source data when the publication snapshot is refreshed.