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 $0.02 Median $0.02 Typical High $0.02 | Facility | None | $0.02 | $0.02 | $0.02 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $37.15 Typical High $46.77 | Professional | None (both parts) | $22.39 | $37.15 | $46.77 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $47.86 Typical High $112.20 | Facility | None | $20.42 | $47.86 | $112.20 |
Medica Setting Professional Modifier None (both parts) Typical Low $12.59 Median $21.88 Typical High $28.84 | Professional | None (both parts) | $12.59 | $21.88 | $28.84 |
United Setting Professional Modifier None (both parts) Typical Low $10.00 Median $14.45 Typical High $25.70 | Professional | None (both parts) | $10.00 | $14.45 | $25.70 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None (both parts) | $17.78 | $17.78 | $17.78 |
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 $39.81 Median $39.81 Typical High $39.81 | Professional | TC · Technical part | $39.81 | $39.81 | $39.81 |
Where South Dakota sits
The same service costs 18.6 times more in Alaska than in Georgia. 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· 15th of 51
$22.39
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.