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 $18.20 Median $35.48 Typical High $72.44 | Facility | None | $18.20 | $35.48 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $4.79 Typical High $10.00 | Professional | None | $4.79 | $4.79 | $10.00 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.90 Median $5.13 Typical High $52.48 | Facility | None | $4.90 | $5.13 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $6.61 Median $15.85 Typical High $46.77 | Facility | None | $6.61 | $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 $32.36 Typical High $67.61 | Facility | None | $8.32 | $32.36 | $67.61 |
Medica Setting Professional Modifier None Typical Low $3.09 Median $6.17 Typical High $32.36 | Professional | None | $3.09 | $6.17 | $32.36 |
United Setting Facility Modifier None Typical Low $5.13 Median $5.13 Typical High $12.02 | Facility | None | $5.13 | $5.13 | $12.02 |
United Setting Professional Modifier None Typical Low $2.19 Median $4.79 Typical High $12.02 | Professional | None | $2.19 | $4.79 | $12.02 |
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 $2.45 Median $2.45 Typical High $2.45 | Facility | 52 · Reduced service | $2.45 | $2.45 | $2.45 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.98 Median $0.98 Typical High $0.98 | Facility | 53 · Discontinued | $0.98 | $0.98 | $0.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.45 Median $2.45 Typical High $3.09 | Professional | 52 · Reduced service | $2.45 | $2.45 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.98 Median $0.98 Typical High $1.23 | Professional | 53 · Discontinued | $0.98 | $0.98 | $1.23 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $4.17 Median $4.68 Typical High $5.13 | Professional | QW · Waived lab test | $4.17 | $4.68 | $5.13 |
Where Minnesota sits
The same service costs 8.1 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
$28.84
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.