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 $51.29 Median $120.23 Typical High $245.47 | Facility | None | $51.29 | $120.23 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $77.62 | Professional | None | $51.29 | $51.29 | $77.62 |
BCBS Minnesota Setting Facility Modifier None Typical Low $48.98 Median $204.17 Typical High $257.04 | Facility | None | $48.98 | $204.17 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $162.18 Typical High $398.11 | Facility | None | $102.33 | $162.18 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $100.00 | Professional | None | $58.88 | $66.07 | $100.00 |
Health Partners Setting Facility Modifier None Typical Low $91.20 Median $154.88 Typical High $380.19 | Facility | None | $91.20 | $154.88 | $380.19 |
Health Partners Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $97.72 | Professional | None | $58.88 | $58.88 | $97.72 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $107.15 Typical High $173.78 | Facility | None | $66.07 | $107.15 | $173.78 |
Medica Setting Professional Modifier None Typical Low $40.74 Median $61.66 Typical High $257.04 | Professional | None | $40.74 | $61.66 | $257.04 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $61.66 | Facility | None | $51.29 | $51.29 | $61.66 |
United Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $120.23 | Professional | None | $30.90 | $51.29 | $120.23 |
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 $25.70 Median $25.70 Typical High $25.70 | Facility | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Facility | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $40.74 Median $45.71 Typical High $51.29 | Professional | QW · Waived lab test | $40.74 | $45.71 | $51.29 |
Where Minnesota sits
The same service costs 2.2 times more in Minnesota than in New Mexico. 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
$105
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.