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 $23.44 Median $77.62 Typical High $131.83 | Facility | None | $23.44 | $77.62 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $15.49 | Professional | None | $7.08 | $7.08 | $15.49 |
BCBS Minnesota Setting Facility Modifier None Typical Low $7.08 Median $7.59 Typical High $70.79 | Facility | None | $7.08 | $7.59 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $23.99 Typical High $70.79 | Facility | None | $9.55 | $23.99 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $10.96 Typical High $14.45 | Professional | None | $8.71 | $10.96 | $14.45 |
Health Partners Setting Facility Modifier None Typical Low $14.13 Median $23.44 Typical High $54.95 | Facility | None | $14.13 | $23.44 | $54.95 |
Health Partners Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $14.45 | Professional | None | $8.71 | $8.71 | $14.45 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $45.71 Typical High $97.72 | Facility | None | $19.50 | $45.71 | $97.72 |
Medica Setting Professional Modifier None Typical Low $4.17 Median $7.59 Typical High $19.95 | Professional | None | $4.17 | $7.59 | $19.95 |
United Setting Facility Modifier None Typical Low $2.45 Median $7.59 Typical High $9.12 | Facility | None | $2.45 | $7.59 | $9.12 |
United Setting Professional Modifier None Typical Low $3.16 Median $6.92 Typical High $17.78 | Professional | None | $3.16 | $6.92 | $17.78 |
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 $3.55 Median $3.55 Typical High $3.55 | Facility | 52 · Reduced service | $3.55 | $3.55 | $3.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $1.41 | Facility | 53 · Discontinued | $1.41 | $1.41 | $1.41 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.55 Median $3.55 Typical High $4.47 | Professional | 52 · Reduced service | $3.55 | $3.55 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $1.82 | Professional | 53 · Discontinued | $1.41 | $1.41 | $1.82 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $6.03 Median $6.76 Typical High $7.59 | Professional | QW · Waived lab test | $6.03 | $6.76 | $7.59 |
Where Minnesota sits
The same service costs 21.4 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
$63.10
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.