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 $72.44 Median $125.89 Typical High $223.87 | Facility | None | $72.44 | $125.89 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $58.88 | Professional | None | $33.11 | $33.11 | $58.88 |
BCBS Minnesota Setting Facility Modifier None Typical Low $33.11 Median $35.48 Typical High $70.79 | Facility | None | $33.11 | $35.48 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $234.42 Typical High $676.08 | Facility | None | $144.54 | $234.42 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $95.50 Typical High $141.25 | Professional | None | $85.11 | $95.50 | $141.25 |
Health Partners Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $537.03 | Facility | None | $138.04 | $223.87 | $537.03 |
Health Partners Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $128.82 | Professional | None | $83.18 | $83.18 | $128.82 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $100.00 Typical High $199.53 | Facility | None | $50.12 | $100.00 | $199.53 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $53.70 Typical High $288.40 | Professional | None | $20.89 | $53.70 | $288.40 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $41.69 | Facility | None | $35.48 | $35.48 | $41.69 |
United Setting Professional Modifier None Typical Low $14.79 Median $29.51 Typical High $83.18 | Professional | None | $14.79 | $29.51 | $83.18 |
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 $16.60 Median $16.60 Typical High $16.60 | Facility | 52 · Reduced service | $16.60 | $16.60 | $16.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.61 | Facility | 53 · Discontinued | $6.61 | $6.61 | $6.61 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $16.60 Typical High $20.89 | Professional | 52 · Reduced service | $16.60 | $16.60 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $8.51 | Professional | 53 · Discontinued | $6.61 | $6.61 | $8.51 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $28.18 Median $31.62 Typical High $35.48 | Professional | QW · Waived lab test | $28.18 | $31.62 | $35.48 |
Where Minnesota sits
The same service costs 4.3 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
$112
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.