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 $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $30.90 Typical High $38.90 | Professional | None | $27.54 | $30.90 | $38.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $30.90 Median $33.11 Typical High $104.71 | Facility | None | $30.90 | $33.11 | $104.71 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $26.30 Median $29.51 Typical High $33.11 | Professional | QW · Waived lab test | $26.30 | $29.51 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $104.71 Typical High $302.00 | Facility | None | $64.57 | $104.71 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $63.10 | Professional | None | $38.02 | $47.86 | $63.10 |
Health Partners Setting Facility Modifier None Typical Low $61.66 Median $102.33 Typical High $239.88 | Facility | None | $61.66 | $102.33 | $239.88 |
Health Partners Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $63.10 | Professional | None | $37.15 | $37.15 | $63.10 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $60.26 Typical High $154.88 | Facility | None | $33.11 | $60.26 | $154.88 |
Medica Setting Professional Modifier None Typical Low $16.22 Median $29.51 Typical High $69.18 | Professional | None | $16.22 | $29.51 | $69.18 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $38.90 | Facility | None | $33.11 | $33.11 | $38.90 |
United Setting Professional Modifier None Typical Low $13.80 Median $30.20 Typical High $77.62 | Professional | None | $13.80 | $30.20 | $77.62 |
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 $15.49 Median $15.49 Typical High $15.49 | Facility | 52 · Reduced service | $15.49 | $15.49 | $15.49 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $6.17 | Facility | 53 · Discontinued | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.49 Median $15.49 Typical High $19.50 | Professional | 52 · Reduced service | $15.49 | $15.49 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $7.94 | Professional | 53 · Discontinued | $6.17 | $6.17 | $7.94 |
Where Minnesota sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 10th of 51
$37.15
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.