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 $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $26.30 | Professional | None | $20.42 | $20.42 | $26.30 |
BCBS Minnesota Setting Facility Modifier None Typical Low $20.89 Median $21.88 Typical High $125.89 | Facility | None | $20.89 | $21.88 | $125.89 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $17.38 Median $19.50 Typical High $21.88 | Professional | QW · Waived lab test | $17.38 | $19.50 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $69.18 Typical High $199.53 | Facility | None | $25.70 | $69.18 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $41.69 | Professional | None | $25.12 | $31.62 | $41.69 |
Health Partners Setting Facility Modifier None Typical Low $40.74 Median $67.61 Typical High $158.49 | Facility | None | $40.74 | $67.61 | $158.49 |
Health Partners Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $41.69 | Professional | None | $24.55 | $24.55 | $41.69 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $40.74 Typical High $102.33 | Facility | None | $21.88 | $40.74 | $102.33 |
Medica Setting Professional Modifier None Typical Low $10.96 Median $17.38 Typical High $46.77 | Professional | None | $10.96 | $17.38 | $46.77 |
United Setting Facility Modifier None Typical Low $15.14 Median $21.88 Typical High $26.30 | Facility | None | $15.14 | $21.88 | $26.30 |
United Setting Professional Modifier None Typical Low $9.12 Median $19.50 Typical High $51.29 | Professional | None | $9.12 | $19.50 | $51.29 |
4 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 $10.23 Median $10.23 Typical High $10.23 | Facility | 52 · Reduced service | $10.23 | $10.23 | $10.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.07 | Facility | 53 · Discontinued | $4.07 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.23 Median $10.23 Typical High $13.18 | Professional | 52 · Reduced service | $10.23 | $10.23 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $5.25 | Professional | 53 · Discontinued | $4.07 | $4.07 | $5.25 |
Where Minnesota sits
The same service costs 3.6 times more in Alaska than in Georgia. 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· 12th of 51
$24.55
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.