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 $8.51 Median $8.51 Typical High $13.80 | Facility | None | $8.51 | $8.51 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $11.48 | Professional | None | $8.13 | $8.13 | $11.48 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $22.91 Typical High $22.91 | Facility | None | $16.60 | $22.91 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $22.91 Typical High $28.18 | Professional | None | $13.49 | $22.91 | $28.18 |
Medica Setting Facility Modifier None Typical Low $11.48 Median $13.80 Typical High $22.39 | Facility | None | $11.48 | $13.80 | $22.39 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $10.96 Typical High $89.13 | Professional | None | $6.92 | $10.96 | $89.13 |
Midlands Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Midlands Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Sanford Health Plan Setting Professional Modifier None Typical Low $16.22 Median $25.12 Typical High $33.11 | Professional | None | $16.22 | $25.12 | $33.11 |
United Setting Professional Modifier None Typical Low $5.13 Median $7.24 Typical High $20.42 | Professional | None | $5.13 | $7.24 | $20.42 |
Wellmark Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
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 $4.07 Median $4.07 Typical High $5.75 | Professional | 52 · Reduced service | $4.07 | $4.07 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $2.29 | Professional | 53 · Discontinued | $1.62 | $1.62 | $2.29 |
Where South Dakota sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 11th of 51
$13.49
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.