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 $4.79 Median $34.67 Typical High $61.66 | Facility | None | $4.79 | $34.67 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $2.24 Median $2.24 Typical High $5.13 | Professional | None | $2.24 | $2.24 | $5.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2.24 Median $2.34 Typical High $6.46 | Facility | None | $2.24 | $2.34 | $6.46 |
Cigna Setting Facility Modifier None Typical Low $3.02 Median $6.92 Typical High $19.95 | Facility | None | $3.02 | $6.92 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $2.51 Median $3.16 Typical High $4.17 | Professional | None | $2.51 | $3.16 | $4.17 |
Health Partners Setting Facility Modifier None Typical Low $4.07 Median $6.76 Typical High $15.85 | Facility | None | $4.07 | $6.76 | $15.85 |
Health Partners Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $4.17 | Professional | None | $2.45 | $2.45 | $4.17 |
Medica Setting Facility Modifier None Typical Low $3.63 Median $18.20 Typical High $60.26 | Facility | None | $3.63 | $18.20 | $60.26 |
Medica Setting Professional Modifier None Typical Low $1.51 Median $2.57 Typical High $7.41 | Professional | None | $1.51 | $2.57 | $7.41 |
United Setting Facility Modifier None Typical Low $2.34 Median $2.34 Typical High $7.59 | Facility | None | $2.34 | $2.34 | $7.59 |
United Setting Professional Modifier None Typical Low $1.41 Median $2.57 Typical High $5.62 | Professional | None | $1.41 | $2.57 | $5.62 |
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 $1.12 Median $1.12 Typical High $1.12 | Facility | 52 · Reduced service | $1.12 | $1.12 | $1.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.45 Median $0.45 Typical High $0.45 | Facility | 53 · Discontinued | $0.45 | $0.45 | $0.45 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1.12 Median $1.12 Typical High $1.41 | Professional | 52 · Reduced service | $1.12 | $1.12 | $1.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.45 Median $0.45 Typical High $0.56 | Professional | 53 · Discontinued | $0.45 | $0.45 | $0.56 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $1.91 Median $2.14 Typical High $2.34 | Professional | QW · Waived lab test | $1.91 | $2.14 | $2.34 |
Where Minnesota sits
The same service costs 17.0 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
$26.30
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.