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 $30.90 Median $69.18 Typical High $144.54 | Facility | None | $30.90 | $69.18 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.88 Typical High $27.54 | Professional | None | $12.59 | $12.88 | $27.54 |
BCBS Minnesota Setting Facility Modifier None Typical Low $12.88 Median $13.80 Typical High $69.18 | Facility | None | $12.88 | $13.80 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $43.65 Typical High $128.82 | Facility | None | $17.38 | $43.65 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $26.30 | Professional | None | $15.85 | $19.95 | $26.30 |
Health Partners Setting Facility Modifier None Typical Low $25.70 Median $42.66 Typical High $100.00 | Facility | None | $25.70 | $42.66 | $100.00 |
Health Partners Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $26.30 | Professional | None | $15.85 | $15.85 | $26.30 |
Medica Setting Facility Modifier None Typical Low $17.78 Median $36.31 Typical High $107.15 | Facility | None | $17.78 | $36.31 | $107.15 |
Medica Setting Professional Modifier None Typical Low $8.13 Median $14.13 Typical High $36.31 | Professional | None | $8.13 | $14.13 | $36.31 |
United Setting Facility Modifier None Typical Low $4.79 Median $13.80 Typical High $36.31 | Facility | None | $4.79 | $13.80 | $36.31 |
United Setting Professional Modifier None Typical Low $5.75 Median $12.59 Typical High $32.36 | Professional | None | $5.75 | $12.59 | $32.36 |
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 $6.46 Median $6.46 Typical High $6.46 | Facility | 52 · Reduced service | $6.46 | $6.46 | $6.46 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.57 | Facility | 53 · Discontinued | $2.57 | $2.57 | $2.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.46 Median $6.46 Typical High $8.13 | Professional | 52 · Reduced service | $6.46 | $6.46 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $3.31 | Professional | 53 · Discontinued | $2.57 | $2.57 | $3.31 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $10.96 Median $12.30 Typical High $13.80 | Professional | QW · Waived lab test | $10.96 | $12.30 | $13.80 |
Where Minnesota sits
The same service costs 9.5 times more in Vermont than in Rhode Island. 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
$54.95
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.