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 $10.23 Median $34.67 Typical High $74.13 | Facility | None | $10.23 | $34.67 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $5.62 | Professional | None | $2.14 | $2.14 | $5.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2.14 Median $2.24 Typical High $6.46 | Facility | None | $2.14 | $2.24 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $2.88 Median $6.92 Typical High $19.95 | Facility | None | $2.88 | $6.92 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $3.16 Typical High $4.17 | Professional | None | $2.51 | $3.16 | $4.17 |
Health Partners Setting Facility Modifier None Typical Low $4.07 Median $6.76 Typical High $15.85 | Facility | None | $4.07 | $6.76 | $15.85 |
Health Partners Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $4.17 | Professional | None | $2.45 | $2.45 | $4.17 |
Medica Setting Facility Modifier None Typical Low $6.17 Median $30.90 Typical High $58.88 | Facility | None | $6.17 | $30.90 | $58.88 |
Medica Setting Professional Modifier None Typical Low $1.35 Median $2.51 Typical High $14.13 | Professional | None | $1.35 | $2.51 | $14.13 |
United Setting Facility Modifier None Typical Low $2.24 Median $2.24 Typical High $2.69 | Facility | None | $2.24 | $2.24 | $2.69 |
United Setting Professional Modifier None Typical Low $1.35 Median $2.45 Typical High $5.25 | Professional | None | $1.35 | $2.45 | $5.25 |
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 $1.07 Median $1.07 Typical High $1.07 | Facility | 52 · Reduced service | $1.07 | $1.07 | $1.07 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.42 Median $0.42 Typical High $0.42 | Facility | 53 · Discontinued | $0.42 | $0.42 | $0.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.07 Median $1.07 Typical High $1.35 | Professional | 52 · Reduced service | $1.07 | $1.07 | $1.35 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.42 Median $0.42 Typical High $0.54 | Professional | 53 · Discontinued | $0.42 | $0.42 | $0.54 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $1.82 Median $2.04 Typical High $2.24 | Professional | QW · Waived lab test | $1.82 | $2.04 | $2.24 |
Where Minnesota sits
The same service costs 20.4 times more in Vermont than in Washington, DC. 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
$32.36
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.