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 $3.39 Median $33.11 Typical High $8,317.64 | Facility | None | $3.39 | $33.11 | $8,317.64 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $3.39 Typical High $5.01 | Professional | None | $3.31 | $3.39 | $5.01 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3.39 Median $3.55 Typical High $52.48 | Facility | None | $3.39 | $3.55 | $52.48 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $2.88 Median $3.24 Typical High $3.55 | Professional | QW · Waived lab test | $2.88 | $3.24 | $3.55 |
Cigna Setting Facility Modifier None Typical Low $4.57 Median $11.48 Typical High $33.88 | Facility | None | $4.57 | $11.48 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $4.17 Median $5.25 Typical High $6.92 | Professional | None | $4.17 | $5.25 | $6.92 |
Health Partners Setting Facility Modifier None Typical Low $6.76 Median $11.22 Typical High $26.30 | Facility | None | $6.76 | $11.22 | $26.30 |
Health Partners Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $6.92 | Professional | None | $4.17 | $4.17 | $6.92 |
Medica Setting Facility Modifier None Typical Low $4.47 Median $19.95 Typical High $70.79 | Facility | None | $4.47 | $19.95 | $70.79 |
Medica Setting Professional Modifier None Typical Low $2.29 Median $3.98 Typical High $11.22 | Professional | None | $2.29 | $3.98 | $11.22 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $4.27 | Facility | None | $3.55 | $3.55 | $4.27 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.89 Typical High $8.32 | Professional | None | $2.14 | $3.89 | $8.32 |
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 $1.70 Median $1.70 Typical High $1.70 | Facility | 52 · Reduced service | $1.70 | $1.70 | $1.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.68 | Facility | 53 · Discontinued | $0.68 | $0.68 | $0.68 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.70 Median $1.70 Typical High $2.14 | Professional | 52 · Reduced service | $1.70 | $1.70 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.85 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.85 |
Where Minnesota sits
The same service costs 3.5 times more in Kansas than in Tennessee. 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
$7.41
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.