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 $97.72 Median $229.09 Typical High $562.34 | Facility | None | $97.72 | $229.09 | $562.34 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $162.18 | Professional | None | $141.25 | $141.25 | $162.18 |
BCBS Minnesota Setting Facility Modifier None Typical Low $120.23 Median $141.25 Typical High $141.25 | Facility | None | $120.23 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $457.09 Typical High $1,318.26 | Facility | None | $288.40 | $457.09 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $181.97 Typical High $275.42 | Professional | None | $165.96 | $181.97 | $275.42 |
Health Partners Setting Facility Modifier None Typical Low $269.15 Median $446.68 Typical High $1,047.13 | Facility | None | $269.15 | $446.68 | $1,047.13 |
Health Partners Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $251.19 | Professional | None | $162.18 | $162.18 | $251.19 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $263.03 Typical High $389.05 | Facility | None | $141.25 | $263.03 | $389.05 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $199.53 Typical High $707.95 | Professional | None | $81.28 | $199.53 | $707.95 |
United Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $169.82 | Facility | None | $141.25 | $141.25 | $169.82 |
United Setting Professional Modifier None Typical Low $66.07 Median $131.83 Typical High $380.19 | Professional | None | $66.07 | $131.83 | $380.19 |
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 $70.79 Median $70.79 Typical High $70.79 | Facility | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | 53 · Discontinued | $28.84 | $28.84 | $28.84 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $114.82 Median $128.82 Typical High $141.25 | Professional | QW · Waived lab test | $114.82 | $128.82 | $141.25 |
Where Minnesota sits
The same service costs 4.3 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· 3rd of 51
$209
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.