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 $72.44 Median $72.44 Typical High $107.15 | Facility | None | $72.44 | $72.44 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $67.61 | Professional | None | $61.66 | $63.10 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $141.25 | Facility | None | $102.33 | $141.25 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $173.78 | Professional | None | $85.11 | $141.25 | $173.78 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $173.78 | Facility | None | $83.18 | $107.15 | $173.78 |
Medica Setting Professional Modifier None Typical Low $50.12 Median $93.33 Typical High $630.96 | Professional | None | $50.12 | $93.33 | $630.96 |
Midlands Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Midlands Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None | $120.23 | $120.23 | $120.23 |
Sanford Health Plan Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None | $128.82 | $128.82 | $128.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $61.66 Typical High $114.82 | Professional | None | $39.81 | $61.66 | $114.82 |
Wellmark Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $165.96 | Professional | None | $141.25 | $165.96 | $165.96 |
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 $30.90 Median $31.62 Typical High $33.88 | Professional | 52 · Reduced service | $30.90 | $31.62 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.88 Typical High $13.49 | Professional | 53 · Discontinued | $12.30 | $12.88 | $13.49 |
Where South Dakota sits
The same service costs 9.3 times more in Alaska than in Hawaii. 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· 8th of 51
$107
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.