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 $5.89 Median $74.13 Typical High $95.50 | Facility | None | $5.89 | $74.13 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.89 Typical High $7.41 | Professional | None | $5.13 | $5.89 | $7.41 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5.89 Median $6.17 Typical High $13.80 | Facility | None | $5.89 | $6.17 | $13.80 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $5.01 Median $5.62 Typical High $6.17 | Professional | QW · Waived lab test | $5.01 | $5.62 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $7.24 Median $19.50 Typical High $57.54 | Facility | None | $7.24 | $19.50 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $8.91 Typical High $11.75 | Professional | None | $7.08 | $8.91 | $11.75 |
Health Partners Setting Facility Modifier None Typical Low $11.48 Median $19.05 Typical High $44.67 | Facility | None | $11.48 | $19.05 | $44.67 |
Health Partners Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $11.75 | Professional | None | $7.08 | $7.08 | $11.75 |
Medica Setting Facility Modifier None Typical Low $7.41 Median $14.79 Typical High $70.79 | Facility | None | $7.41 | $14.79 | $70.79 |
Medica Setting Professional Modifier None Typical Low $3.72 Median $6.17 Typical High $13.18 | Professional | None | $3.72 | $6.17 | $13.18 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $7.41 | Facility | None | $6.17 | $6.17 | $7.41 |
United Setting Professional Modifier None Typical Low $3.72 Median $6.17 Typical High $14.45 | Professional | None | $3.72 | $6.17 | $14.45 |
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 $2.95 Median $2.95 Typical High $2.95 | Facility | 52 · Reduced service | $2.95 | $2.95 | $2.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.17 Median $1.17 Typical High $1.17 | Facility | 53 · Discontinued | $1.17 | $1.17 | $1.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.95 Median $2.95 Typical High $3.72 | Professional | 52 · Reduced service | $2.95 | $2.95 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.17 Typical High $1.51 | Professional | 53 · Discontinued | $1.17 | $1.17 | $1.51 |
Where Minnesota sits
The same service costs 3.5 times more in Alaska than in Alabama. 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· 9th of 51
$8.32
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.