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 $38.02 Median $74.13 Typical High $144.54 | Facility | None | $38.02 | $74.13 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $51.29 | Professional | None | $15.85 | $15.85 | $51.29 |
BCBS Minnesota Setting Facility Modifier None Typical Low $16.22 Median $16.98 Typical High $97.72 | Facility | None | $16.22 | $16.98 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $54.95 Typical High $162.18 | Facility | None | $21.88 | $54.95 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $33.11 | Professional | None | $19.95 | $25.12 | $33.11 |
Health Partners Setting Facility Modifier None Typical Low $32.36 Median $53.70 Typical High $125.89 | Facility | None | $32.36 | $53.70 | $125.89 |
Health Partners Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $33.11 | Professional | None | $19.95 | $19.95 | $33.11 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $57.54 Typical High $147.91 | Facility | None | $20.89 | $57.54 | $147.91 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $19.05 Typical High $72.44 | Professional | None | $10.23 | $19.05 | $72.44 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $20.42 | Facility | None | $16.98 | $16.98 | $20.42 |
United Setting Professional Modifier None Typical Low $7.08 Median $15.85 Typical High $39.81 | Professional | None | $7.08 | $15.85 | $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 $3.24 Median $3.24 Typical High $3.24 | Facility | 53 · Discontinued | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.94 Median $7.94 Typical High $10.23 | Professional | 52 · Reduced service | $7.94 | $7.94 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $4.07 | Professional | 53 · Discontinued | $3.24 | $3.24 | $4.07 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $13.49 Median $15.49 Typical High $16.98 | Professional | QW · Waived lab test | $13.49 | $15.49 | $16.98 |
Where Minnesota sits
The same service costs 8.1 times more in Vermont than in Indiana. 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
$66.07
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.