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 $245.47 Median $245.47 Typical High $380.19 | Facility | None | $245.47 | $245.47 | $380.19 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $245.47 Typical High $251.19 | Professional | None | $234.42 | $245.47 | $251.19 |
BCBS Minnesota Setting Facility Modifier None Typical Low $177.83 Median $263.03 Typical High $346.74 | Facility | None | $177.83 | $263.03 | $346.74 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $208.93 Median $234.42 Typical High $263.03 | Professional | QW · Waived lab test | $208.93 | $234.42 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $851.14 Typical High $2,454.71 | Facility | None | $524.81 | $851.14 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $346.74 Typical High $512.86 | Professional | None | $302.00 | $346.74 | $512.86 |
Health Partners Setting Facility Modifier None Typical Low $489.78 Median $812.83 Typical High $1,949.84 | Facility | None | $489.78 | $812.83 | $1,949.84 |
Health Partners Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $467.74 | Professional | None | $302.00 | $302.00 | $467.74 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $416.87 Typical High $524.81 | Facility | None | $316.23 | $416.87 | $524.81 |
Medica Setting Professional Modifier None Typical Low $134.90 Median $295.12 Typical High $1,318.26 | Professional | None | $134.90 | $295.12 | $1,318.26 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $316.23 | Facility | None | $263.03 | $263.03 | $316.23 |
United Setting Professional Modifier None Typical Low $109.65 Median $208.93 Typical High $616.60 | Professional | None | $109.65 | $208.93 | $616.60 |
4 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 $123.03 Median $123.03 Typical High $123.03 | Facility | 52 · Reduced service | $123.03 | $123.03 | $123.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | 53 · Discontinued | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $123.03 Typical High $141.25 | Professional | 52 · Reduced service | $123.03 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $56.23 | Professional | 53 · Discontinued | $48.98 | $48.98 | $56.23 |
Where Minnesota sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 11th of 51
$302
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.