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 $51.29 Typical High $269.15 | Facility | None | $51.29 | $51.29 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | None | $51.29 | $51.29 | $56.23 |
BCBS Minnesota Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $51.29 | Facility | None | $45.71 | $51.29 | $51.29 |
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 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $165.96 Typical High $478.63 | Facility | None | $109.65 | $165.96 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $67.61 | Professional | None | $53.70 | $58.88 | $67.61 |
Health Partners Setting Facility Modifier None Typical Low $95.50 Median $154.88 Typical High $380.19 | Facility | None | $95.50 | $154.88 | $380.19 |
Health Partners Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $269.15 | Facility | None | $61.66 | $87.10 | $269.15 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $57.54 Typical High $257.04 | Professional | None | $26.30 | $57.54 | $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 $21.38 Median $45.71 Typical High $120.23 | Professional | None | $21.38 | $45.71 | $120.23 |
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 $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 |
Where Minnesota sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 13th of 51
$53.70
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.