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 $42.66 Median $93.33 Typical High $181.97 | Facility | None | $42.66 | $93.33 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $33.11 | Professional | None | $12.59 | $12.59 | $33.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $13.49 Median $67.61 Typical High $107.15 | Facility | None | $13.49 | $67.61 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $42.66 Typical High $123.03 | Facility | None | $16.60 | $42.66 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $19.50 Typical High $28.18 | Professional | None | $15.49 | $19.50 | $28.18 |
Health Partners Setting Facility Modifier None Typical Low $25.12 Median $41.69 Typical High $97.72 | Facility | None | $25.12 | $41.69 | $97.72 |
Health Partners Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $25.70 | Professional | None | $15.14 | $15.14 | $25.70 |
Medica Setting Facility Modifier None Typical Low $27.54 Median $85.11 Typical High $158.49 | Facility | None | $27.54 | $85.11 | $158.49 |
Medica Setting Professional Modifier None Typical Low $7.94 Median $16.22 Typical High $102.33 | Professional | None | $7.94 | $16.22 | $102.33 |
United Setting Facility Modifier None Typical Low $3.63 Median $13.49 Typical High $16.22 | Facility | None | $3.63 | $13.49 | $16.22 |
United Setting Professional Modifier None Typical Low $5.62 Median $12.30 Typical High $31.62 | Professional | None | $5.62 | $12.30 | $31.62 |
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 $6.31 Median $6.31 Typical High $6.31 | Facility | 52 · Reduced service | $6.31 | $6.31 | $6.31 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.51 | Facility | 53 · Discontinued | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.31 Median $6.31 Typical High $7.94 | Professional | 52 · Reduced service | $6.31 | $6.31 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $3.24 | Professional | 53 · Discontinued | $2.51 | $2.51 | $3.24 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $10.72 Median $12.02 Typical High $13.49 | Professional | QW · Waived lab test | $10.72 | $12.02 | $13.49 |
Where Minnesota sits
The same service costs 10.7 times more in Vermont 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· 2nd of 51
$85.11
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.