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 $42.66 Median $100.00 Typical High $199.53 | Facility | None | $42.66 | $100.00 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $41.69 | Professional | None | $15.85 | $15.85 | $41.69 |
BCBS Minnesota Setting Facility Modifier None Typical Low $16.98 Median $83.18 Typical High $134.90 | Facility | None | $16.98 | $83.18 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $53.70 Typical High $158.49 | Facility | None | $21.38 | $53.70 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $36.31 | Professional | None | $19.50 | $24.55 | $36.31 |
Health Partners Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $123.03 | Facility | None | $31.62 | $52.48 | $123.03 |
Health Partners Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $32.36 | Professional | None | $19.50 | $19.50 | $32.36 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $85.11 Typical High $151.36 | Facility | None | $30.90 | $85.11 | $151.36 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $22.91 Typical High $107.15 | Professional | None | $10.00 | $22.91 | $107.15 |
United Setting Facility Modifier None Typical Low $5.89 Median $16.98 Typical High $60.26 | Facility | None | $5.89 | $16.98 | $60.26 |
United Setting Professional Modifier None Typical Low $7.08 Median $15.49 Typical High $39.81 | Professional | None | $7.08 | $15.49 | $39.81 |
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 $7.94 Median $7.94 Typical High $7.94 | Facility | 52 · Reduced service | $7.94 | $7.94 | $7.94 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.16 | Facility | 53 · Discontinued | $3.16 | $3.16 | $3.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $10.00 | Professional | 52 · Reduced service | $7.94 | $7.94 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $4.07 | Professional | 53 · Discontinued | $3.16 | $3.16 | $4.07 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $13.49 Median $15.14 Typical High $16.98 | Professional | QW · Waived lab test | $13.49 | $15.14 | $16.98 |
Where Minnesota sits
The same service costs 7.8 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· 2nd of 51
$95.50
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.