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 $8.91 Median $31.62 Typical High $72.44 | Facility | None | $8.91 | $31.62 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $10.00 | Professional | None | $4.68 | $4.68 | $10.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.68 Median $4.90 Typical High $40.74 | Facility | None | $4.68 | $4.90 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $6.31 Median $15.85 Typical High $46.77 | Facility | None | $6.31 | $15.85 | $46.77 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.41 Typical High $9.77 | Professional | None | $5.89 | $7.41 | $9.77 |
Health Partners Setting Facility Modifier None Typical Low $9.55 Median $15.85 Typical High $37.15 | Facility | None | $9.55 | $15.85 | $37.15 |
Health Partners Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $9.55 | Professional | None | $5.75 | $5.75 | $9.55 |
Medica Setting Facility Modifier None Typical Low $8.32 Median $25.12 Typical High $70.79 | Facility | None | $8.32 | $25.12 | $70.79 |
Medica Setting Professional Modifier None Typical Low $2.95 Median $5.89 Typical High $30.90 | Professional | None | $2.95 | $5.89 | $30.90 |
United Setting Facility Modifier None Typical Low $1.38 Median $4.90 Typical High $10.47 | Facility | None | $1.38 | $4.90 | $10.47 |
United Setting Professional Modifier None Typical Low $2.09 Median $4.57 Typical High $11.48 | Professional | None | $2.09 | $4.57 | $11.48 |
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 $2.34 Median $2.34 Typical High $2.34 | Facility | 52 · Reduced service | $2.34 | $2.34 | $2.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $0.93 | Facility | 53 · Discontinued | $0.93 | $0.93 | $0.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.34 Median $2.34 Typical High $2.95 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $1.20 | Professional | 53 · Discontinued | $0.93 | $0.93 | $1.20 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $3.98 Median $4.47 Typical High $4.90 | Professional | QW · Waived lab test | $3.98 | $4.47 | $4.90 |
Where Minnesota sits
The same service costs 9.3 times more in Vermont than in Georgia. 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
$22.39
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.