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 $275.42 Median $275.42 Typical High $446.68 | Facility | None | $275.42 | $275.42 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $263.03 | $263.03 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $741.31 Typical High $933.25 | Professional | None (both parts) | $446.68 | $741.31 | $933.25 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $446.68 Typical High $724.44 | Facility | None | $371.54 | $446.68 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $199.53 | $354.81 | $467.74 |
Sanford Health Plan Setting Professional Modifier None Typical Low $645.65 Median $912.01 Typical High $1,071.52 | Professional | None | $645.65 | $912.01 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $165.96 | $234.42 | $389.05 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None (both parts) | $389.05 | $389.05 | $389.05 |
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 $776.25 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $776.25 | $776.25 | $776.25 |
Where South Dakota sits
The same service costs 134.9 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.
South Dakota· 20th of 51
$389
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.