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 $15.49 Median $47.86 Typical High $69.18 | Facility | None | $15.49 | $47.86 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $15.49 Typical High $28.84 | Professional | None | $12.30 | $15.49 | $28.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $15.85 Median $16.60 Typical High $67.61 | Facility | None | $15.85 | $16.60 | $67.61 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $13.18 Median $14.79 Typical High $16.60 | Professional | QW · Waived lab test | $13.18 | $14.79 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $52.48 Typical High $154.88 | Facility | None | $19.95 | $52.48 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $23.99 Typical High $33.11 | Professional | None | $19.05 | $23.99 | $33.11 |
Health Partners Setting Facility Modifier None Typical Low $30.90 Median $51.29 Typical High $120.23 | Facility | None | $30.90 | $51.29 | $120.23 |
Health Partners Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $31.62 | Professional | None | $19.05 | $19.05 | $31.62 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $44.67 Typical High $93.33 | Facility | None | $23.99 | $44.67 | $93.33 |
Medica Setting Professional Modifier None Typical Low $10.00 Median $16.60 Typical High $35.48 | Professional | None | $10.00 | $16.60 | $35.48 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $19.95 | Facility | None | $16.60 | $16.60 | $19.95 |
United Setting Professional Modifier None Typical Low $10.00 Median $16.60 Typical High $38.90 | Professional | None | $10.00 | $16.60 | $38.90 |
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 $7.76 Median $7.76 Typical High $7.76 | Facility | 52 · Reduced service | $7.76 | $7.76 | $7.76 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.09 | Facility | 53 · Discontinued | $3.09 | $3.09 | $3.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $7.76 Typical High $10.00 | Professional | 52 · Reduced service | $7.76 | $7.76 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.98 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.98 |
Where Minnesota sits
The same service costs 5.2 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· 2nd of 51
$34.67
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.