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 $22.39 Median $47.86 Typical High $67.61 | Facility | None | $22.39 | $47.86 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $28.84 | Professional | None | $22.39 | $22.39 | $28.84 |
BCBS Minnesota Setting Facility Modifier None Typical Low $22.91 Median $23.99 Typical High $70.79 | Facility | None | $22.91 | $23.99 | $70.79 |
BCBS Minnesota Setting Professional Modifier QW · Waived lab test Typical Low $19.05 Median $21.88 Typical High $23.99 | Professional | QW · Waived lab test | $19.05 | $21.88 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $77.62 Typical High $223.87 | Facility | None | $47.86 | $77.62 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $31.62 | Professional | None | $25.12 | $27.54 | $31.62 |
Health Partners Setting Facility Modifier None Typical Low $46.77 Median $75.86 Typical High $177.83 | Facility | None | $46.77 | $75.86 | $177.83 |
Health Partners Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $44.67 Typical High $117.49 | Facility | None | $23.99 | $44.67 | $117.49 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $21.88 Typical High $51.29 | Professional | None | $13.18 | $21.88 | $51.29 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $28.84 | Facility | None | $23.99 | $23.99 | $28.84 |
United Setting Professional Modifier None Typical Low $10.00 Median $22.39 Typical High $56.23 | Professional | None | $10.00 | $22.39 | $56.23 |
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 $11.22 Median $11.22 Typical High $11.22 | Facility | 52 · Reduced service | $11.22 | $11.22 | $11.22 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $4.57 | Facility | 53 · Discontinued | $4.57 | $4.57 | $4.57 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.22 Median $11.22 Typical High $14.45 | Professional | 52 · Reduced service | $11.22 | $11.22 | $14.45 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $5.75 | Professional | 53 · Discontinued | $4.57 | $4.57 | $5.75 |
Where Minnesota sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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· 17th of 51
$25.12
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.