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 $11.22 Median $186.21 Typical High $363.08 | Facility | None | $11.22 | $186.21 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $11.22 Typical High $19.95 | Professional | None | $10.96 | $11.22 | $19.95 |
BCBS Setting Facility Modifier None Typical Low $11.48 Median $12.02 Typical High $70.79 | Facility | None | $11.48 | $12.02 | $70.79 |
BCBS Setting Professional Modifier QW · Waived lab test Typical Low $9.55 Median $10.72 Typical High $12.02 | Professional | QW · Waived lab test | $9.55 | $10.72 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $38.02 Typical High $109.65 | Facility | None | $15.49 | $38.02 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $13.80 Median $17.38 Typical High $22.91 | Professional | None | $13.80 | $17.38 | $22.91 |
Health Partners Setting Facility Modifier None Typical Low $22.39 Median $37.15 Typical High $87.10 | Facility | None | $22.39 | $37.15 | $87.10 |
Health Partners Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $22.91 | Professional | None | $13.49 | $13.49 | $22.91 |
Medica Setting Facility Modifier None Typical Low $15.14 Median $45.71 Typical High $169.82 | Facility | None | $15.14 | $45.71 | $169.82 |
Medica Setting Professional Modifier None Typical Low $7.24 Median $12.02 Typical High $31.62 | Professional | None | $7.24 | $12.02 | $31.62 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $14.45 | Facility | None | $12.02 | $12.02 | $14.45 |
United Setting Professional Modifier None Typical Low $5.01 Median $10.96 Typical High $28.18 | Professional | None | $5.01 | $10.96 | $28.18 |
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 $5.62 Median $5.62 Typical High $5.62 | Facility | 52 · Reduced service | $5.62 | $5.62 | $5.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.24 | Facility | 53 · Discontinued | $2.24 | $2.24 | $2.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $5.62 Typical High $7.24 | Professional | 52 · Reduced service | $5.62 | $5.62 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.88 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.88 |
Where Minnesota sits
The same service costs 5.5 times more in Vermont than in New Jersey. 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· 9th of 51
$17.38
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.