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 $20.89 Median $58.88 Typical High $109.65 | Facility | None | $20.89 | $58.88 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.50 Typical High $8.13 | Professional | None | $4.79 | $5.50 | $8.13 |
BCBS Minnesota Setting Facility Modifier None Typical Low $5.50 Median $5.75 Typical High $52.48 | Facility | None | $5.50 | $5.75 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $6.92 Median $18.20 Typical High $53.70 | Facility | None | $6.92 | $18.20 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $8.32 Typical High $11.22 | Professional | None | $6.61 | $8.32 | $11.22 |
Health Partners Setting Facility Modifier None Typical Low $10.72 Median $17.78 Typical High $42.66 | Facility | None | $10.72 | $17.78 | $42.66 |
Health Partners Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $10.96 | Professional | None | $6.61 | $6.61 | $10.96 |
Medica Setting Facility Modifier None Typical Low $9.77 Median $36.31 Typical High $87.10 | Facility | None | $9.77 | $36.31 | $87.10 |
Medica Setting Professional Modifier None Typical Low $3.47 Median $5.75 Typical High $12.30 | Professional | None | $3.47 | $5.75 | $12.30 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $12.02 | Facility | None | $5.75 | $5.75 | $12.02 |
United Setting Professional Modifier None Typical Low $3.47 Median $5.75 Typical High $13.49 | Professional | None | $3.47 | $5.75 | $13.49 |
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 $2.75 Median $2.75 Typical High $2.75 | Facility | 52 · Reduced service | $2.75 | $2.75 | $2.75 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.10 | Facility | 53 · Discontinued | $1.10 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $2.75 Median $2.75 Typical High $3.47 | Professional | 52 · Reduced service | $2.75 | $2.75 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.41 | Professional | 53 · Discontinued | $1.10 | $1.10 | $1.41 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $4.68 Median $5.25 Typical High $5.75 | Professional | QW · Waived lab test | $4.68 | $5.25 | $5.75 |
Where Minnesota sits
The same service costs 7.9 times more in Minnesota than in New York. 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
$35.48
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.