How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $269.15 Median $269.15 Typical High $436.52 | Facility | None | $269.15 | $269.15 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $269.15 | $269.15 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $724.44 Typical High $912.01 | Professional | None (both parts) | $436.52 | $724.44 | $912.01 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $426.58 Typical High $691.83 | Facility | None | $363.08 | $426.58 | $691.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $194.98 | $338.84 | $457.09 |
Sanford Health Plan Setting Professional Modifier None Typical Low $630.96 Median $891.25 Typical High $1,047.13 | Professional | None | $630.96 | $891.25 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $158.49 | $229.09 | $380.19 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
1 more rate 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 |
|---|---|---|---|---|---|
Midlands Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | TC · Technical part | $831.76 | $831.76 | $831.76 |
Where South Dakota sits
The same service costs 4.2 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.
South Dakota· 10th of 51
$437
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.