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 $8.51 Median $40.74 Typical High $112.20 | Facility | None | $8.51 | $40.74 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.61 Typical High $12.30 | Professional | None | $6.31 | $6.61 | $12.30 |
BCBS Setting Facility Modifier None Typical Low $6.61 Median $7.08 Typical High $63.10 | Facility | None | $6.61 | $7.08 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $22.91 Typical High $67.61 | Facility | None | $9.12 | $22.91 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $13.80 | Professional | None | $8.32 | $10.47 | $13.80 |
Health Partners Setting Facility Modifier None Typical Low $13.49 Median $22.39 Typical High $52.48 | Facility | None | $13.49 | $22.39 | $52.48 |
Health Partners Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $13.80 | Professional | None | $8.32 | $8.32 | $13.80 |
Medica Setting Facility Modifier None Typical Low $10.00 Median $29.51 Typical High $93.33 | Facility | None | $10.00 | $29.51 | $93.33 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $7.24 Typical High $18.62 | Professional | None | $3.98 | $7.24 | $18.62 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $8.32 | Facility | None | $7.08 | $7.08 | $8.32 |
United Setting Professional Modifier None Typical Low $2.95 Median $6.46 Typical High $16.60 | Professional | None | $2.95 | $6.46 | $16.60 |
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 $3.31 Median $3.31 Typical High $3.31 | Facility | 52 · Reduced service | $3.31 | $3.31 | $3.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.32 | Facility | 53 · Discontinued | $1.32 | $1.32 | $1.32 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.31 Median $3.31 Typical High $4.17 | Professional | 52 · Reduced service | $3.31 | $3.31 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.32 Median $1.32 Typical High $1.70 | Professional | 53 · Discontinued | $1.32 | $1.32 | $1.70 |
BCBS Setting Professional Modifier QW · Waived lab test Typical Low $5.62 Median $6.31 Typical High $7.08 | Professional | QW · Waived lab test | $5.62 | $6.31 | $7.08 |
Where Minnesota sits
The same service costs 9.3 times more in Vermont than in New Jersey. 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· 3rd of 51
$18.20
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.