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 $14.45 Median $14.45 Typical High $21.38 | Facility | None | $14.45 | $14.45 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.59 Typical High $13.49 | Professional | None | $12.30 | $12.59 | $13.49 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $27.54 Typical High $27.54 | Facility | None | $19.95 | $27.54 | $27.54 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $27.54 Typical High $34.67 | Professional | None | $16.60 | $27.54 | $34.67 |
Medica Setting Facility Modifier None Typical Low $11.75 Median $21.38 Typical High $21.38 | Facility | None | $11.75 | $21.38 | $21.38 |
Medica Setting Professional Modifier None Typical Low $8.71 Median $18.62 Typical High $125.89 | Professional | None | $8.71 | $18.62 | $125.89 |
Midlands Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Midlands Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Sanford Health Plan Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
United Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $21.38 | Professional | None | $7.94 | $11.22 | $21.38 |
Wellmark Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $22.39 | Professional | None | $19.05 | $22.39 | $22.39 |
2 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 Professional Modifier 52 · Reduced service Typical Low $6.17 Median $6.31 Typical High $6.76 | Professional | 52 · Reduced service | $6.17 | $6.31 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.51 Typical High $2.69 | Professional | 53 · Discontinued | $2.45 | $2.51 | $2.69 |
Where South Dakota sits
The same service costs 9.3 times more in Alaska than in New Jersey. 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· 9th of 51
$20.42
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.