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 $6.76 Median $37.15 Typical High $112.20 | Facility | None | $6.76 | $37.15 | $112.20 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $6.76 Typical High $12.59 | Professional | None | $6.61 | $6.76 | $12.59 |
BCBS Minnesota Setting Facility Modifier None Typical Low $6.92 Median $7.24 Typical High $40.74 | Facility | None | $6.92 | $7.24 | $40.74 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $5.75 Median $6.46 Typical High $7.24 | Professional | QW · Waived lab test | $5.75 | $6.46 | $7.24 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $22.91 Typical High $67.61 | Facility | None | $9.33 | $22.91 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $10.47 Typical High $13.80 | Professional | None | $8.32 | $10.47 | $13.80 |
Health Partners Setting Facility Modifier None Typical Low $13.49 Median $22.39 Typical High $52.48 | Facility | None | $13.49 | $22.39 | $52.48 |
Health Partners Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $13.80 | Professional | None | $8.32 | $8.32 | $13.80 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $38.02 Typical High $81.28 | Facility | None | $11.48 | $38.02 | $81.28 |
Medica Setting Professional Modifier None Typical Low $4.37 Median $8.13 Typical High $23.44 | Professional | None | $4.37 | $8.13 | $23.44 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $8.71 | Facility | None | $7.24 | $7.24 | $8.71 |
United Setting Professional Modifier None Typical Low $3.02 Median $6.61 Typical High $16.98 | Professional | None | $3.02 | $6.61 | $16.98 |
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 $3.39 Median $3.39 Typical High $3.39 | Facility | 52 · Reduced service | $3.39 | $3.39 | $3.39 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.35 | Facility | 53 · Discontinued | $1.35 | $1.35 | $1.35 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.39 Median $3.39 Typical High $4.37 | Professional | 52 · Reduced service | $3.39 | $3.39 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.74 | Professional | 53 · Discontinued | $1.35 | $1.35 | $1.74 |
Where Minnesota sits
The same service costs 5.8 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· 3rd of 51
$18.62
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.