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 $9.77 Median $28.84 Typical High $74.13 | Facility | None | $9.77 | $28.84 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.47 Typical High $5.13 | Professional | None | $3.39 | $3.47 | $5.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $3.47 Median $3.63 Typical High $40.74 | Facility | None | $3.47 | $3.63 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $4.68 Median $11.48 Typical High $33.88 | Facility | None | $4.68 | $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 $5.13 Median $11.48 Typical High $58.88 | Facility | None | $5.13 | $11.48 | $58.88 |
Medica Setting Professional Modifier None Typical Low $2.09 Median $3.63 Typical High $9.77 | Professional | None | $2.09 | $3.63 | $9.77 |
United Setting Facility Modifier None Typical Low $3.63 Median $3.63 Typical High $10.47 | Facility | None | $3.63 | $3.63 | $10.47 |
United Setting Professional Modifier None Typical Low $1.55 Median $3.39 Typical High $8.51 | Professional | None | $1.55 | $3.39 | $8.51 |
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 $1.74 Median $1.74 Typical High $1.74 | Facility | 52 · Reduced service | $1.74 | $1.74 | $1.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.69 Median $0.69 Typical High $0.69 | Facility | 53 · Discontinued | $0.69 | $0.69 | $0.69 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.74 Median $1.74 Typical High $2.19 | Professional | 52 · Reduced service | $1.74 | $1.74 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.69 Typical High $0.87 | Professional | 53 · Discontinued | $0.69 | $0.69 | $0.87 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $2.95 Median $3.31 Typical High $3.63 | Professional | QW · Waived lab test | $2.95 | $3.31 | $3.63 |
Where Minnesota sits
The same service costs 10.2 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
$20.89
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.