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 $3.72 Median $28.84 Typical High $52.48 | Facility | None | $3.72 | $28.84 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $6.17 | Professional | None | $3.72 | $3.72 | $6.17 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3.72 Median $3.89 Typical High $89.13 | Facility | None | $3.72 | $3.89 | $89.13 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $3.16 Median $3.55 Typical High $3.89 | Professional | QW · Waived lab test | $3.16 | $3.55 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $5.01 Median $12.59 Typical High $37.15 | Facility | None | $5.01 | $12.59 | $37.15 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $5.75 Typical High $7.59 | Professional | None | $4.57 | $5.75 | $7.59 |
Health Partners Setting Facility Modifier None Typical Low $7.41 Median $12.30 Typical High $28.84 | Facility | None | $7.41 | $12.30 | $28.84 |
Health Partners Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $7.59 | Professional | None | $4.57 | $4.57 | $7.59 |
Medica Setting Facility Modifier None Typical Low $5.62 Median $28.84 Typical High $77.62 | Facility | None | $5.62 | $28.84 | $77.62 |
Medica Setting Professional Modifier None Typical Low $2.51 Median $4.27 Typical High $12.02 | Professional | None | $2.51 | $4.27 | $12.02 |
United Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $10.47 | Facility | None | $3.89 | $3.89 | $10.47 |
United Setting Professional Modifier None Typical Low $2.34 Median $4.27 Typical High $9.12 | Professional | None | $2.34 | $4.27 | $9.12 |
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 $1.82 Median $1.82 Typical High $1.82 | Facility | 52 · Reduced service | $1.82 | $1.82 | $1.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.74 Median $0.74 Typical High $0.74 | Facility | 53 · Discontinued | $0.74 | $0.74 | $0.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.82 Median $1.82 Typical High $2.34 | Professional | 52 · Reduced service | $1.82 | $1.82 | $2.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.74 Typical High $0.93 | Professional | 53 · Discontinued | $0.74 | $0.74 | $0.93 |
Where Minnesota sits
The same service costs 8.1 times more in Vermont than in New Jersey. 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· 4th of 51
$8.13
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.