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 $38.02 Median $100.00 Typical High $245.47 | Facility | None | $38.02 | $100.00 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $24.55 | Professional | None | $7.94 | $7.94 | $24.55 |
BCBS Minnesota Setting Facility Modifier None Typical Low $8.51 Median $42.66 Typical High $93.33 | Facility | None | $8.51 | $42.66 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $26.30 Typical High $77.62 | Facility | None | $10.96 | $26.30 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $12.02 Typical High $15.85 | Professional | None | $9.55 | $12.02 | $15.85 |
Health Partners Setting Facility Modifier None Typical Low $15.49 Median $25.70 Typical High $60.26 | Facility | None | $15.49 | $25.70 | $60.26 |
Health Partners Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $15.85 | Professional | None | $9.55 | $9.55 | $15.85 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $89.13 Typical High $199.53 | Facility | None | $25.70 | $89.13 | $199.53 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $10.23 Typical High $87.10 | Professional | None | $5.13 | $10.23 | $87.10 |
United Setting Facility Modifier None Typical Low $2.88 Median $8.51 Typical High $10.23 | Facility | None | $2.88 | $8.51 | $10.23 |
United Setting Professional Modifier None Typical Low $3.55 Median $7.76 Typical High $19.95 | Professional | None | $3.55 | $7.76 | $19.95 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $3.98 Median $3.98 Typical High $3.98 | Facility | 52 · Reduced service | $3.98 | $3.98 | $3.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.58 | Facility | 53 · Discontinued | $1.58 | $1.58 | $1.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.98 Median $3.98 Typical High $5.13 | Professional | 52 · Reduced service | $3.98 | $3.98 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $2.04 | Professional | 53 · Discontinued | $1.58 | $1.58 | $2.04 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $6.76 Median $7.59 Typical High $8.51 | Professional | QW · Waived lab test | $6.76 | $7.59 | $8.51 |
Where Minnesota sits
The same service costs 14.8 times more in Minnesota than in Maryland. 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.
Minnesota· 1st of 51
$93.33
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.