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 $66.07 Median $89.13 Typical High $177.83 | Facility | None | $66.07 | $89.13 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $85.11 | Professional | None | $66.07 | $66.07 | $85.11 |
BCBS Minnesota Setting Facility Modifier None Typical Low $53.70 Median $70.79 Typical High $104.71 | Facility | None | $53.70 | $70.79 | $104.71 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $56.23 Median $63.10 Typical High $70.79 | Professional | QW · Waived lab test | $56.23 | $63.10 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $223.87 Typical High $660.69 | Facility | None | $138.04 | $223.87 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $91.20 Typical High $134.90 | Professional | None | $81.28 | $91.20 | $134.90 |
Health Partners Setting Facility Modifier None Typical Low $131.83 Median $213.80 Typical High $512.86 | Facility | None | $131.83 | $213.80 | $512.86 |
Health Partners Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $134.90 | Professional | None | $81.28 | $81.28 | $134.90 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $141.25 Typical High $323.59 | Facility | None | $79.43 | $141.25 | $323.59 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $79.43 Typical High $354.81 | Professional | None | $41.69 | $79.43 | $354.81 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $85.11 | Facility | None | $70.79 | $70.79 | $85.11 |
United Setting Professional Modifier None Typical Low $29.51 Median $56.23 Typical High $165.96 | Professional | None | $29.51 | $56.23 | $165.96 |
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 $33.11 Median $33.11 Typical High $33.11 | Facility | 52 · Reduced service | $33.11 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | 53 · Discontinued | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | 52 · Reduced service | $33.11 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $16.98 | Professional | 53 · Discontinued | $13.18 | $13.18 | $16.98 |
Where Minnesota sits
The same service costs 4.0 times more in Alaska than in Alabama. 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· 16th of 51
$83.18
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.