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 $22.39 Median $60.26 Typical High $89.13 | Facility | None | $22.39 | $60.26 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $12.88 | Professional | None | $4.07 | $4.07 | $12.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $4.07 Median $4.27 Typical High $52.48 | Facility | None | $4.07 | $4.27 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $5.13 Median $13.80 Typical High $39.81 | Facility | None | $5.13 | $13.80 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $5.01 Median $6.31 Typical High $8.32 | Professional | None | $5.01 | $6.31 | $8.32 |
Health Partners Setting Facility Modifier None Typical Low $8.13 Median $13.49 Typical High $31.62 | Facility | None | $8.13 | $13.49 | $31.62 |
Health Partners Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $8.32 | Professional | None | $5.01 | $5.01 | $8.32 |
Medica Setting Facility Modifier None Typical Low $10.96 Median $38.02 Typical High $69.18 | Facility | None | $10.96 | $38.02 | $69.18 |
Medica Setting Professional Modifier None Typical Low $2.88 Median $5.25 Typical High $30.90 | Professional | None | $2.88 | $5.25 | $30.90 |
United Setting Facility Modifier None Typical Low $1.26 Median $4.27 Typical High $10.47 | Facility | None | $1.26 | $4.27 | $10.47 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.27 Typical High $10.00 | Professional | None | $2.57 | $4.27 | $10.00 |
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 $2.04 Median $2.04 Typical High $2.04 | Facility | 52 · Reduced service | $2.04 | $2.04 | $2.04 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $0.81 | Facility | 53 · Discontinued | $0.81 | $0.81 | $0.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.04 Median $2.04 Typical High $2.57 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $1.02 | Professional | 53 · Discontinued | $0.81 | $0.81 | $1.02 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $3.47 Median $3.89 Typical High $4.27 | Professional | QW · Waived lab test | $3.47 | $3.89 | $4.27 |
Where Minnesota sits
The same service costs 14.8 times more in Minnesota 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· 1st of 51
$51.29
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.