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 $21.38 Median $21.38 Typical High $31.62 | Facility | None | $21.38 | $21.38 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $18.62 Typical High $19.50 | Professional | None | $18.20 | $18.62 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $41.69 Typical High $41.69 | Facility | None | $30.20 | $41.69 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $42.66 Typical High $52.48 | Professional | None | $25.12 | $42.66 | $52.48 |
Medica Setting Facility Modifier None Typical Low $18.20 Median $31.62 Typical High $31.62 | Facility | None | $18.20 | $31.62 | $31.62 |
Medica Setting Professional Modifier None Typical Low $12.59 Median $27.54 Typical High $186.21 | Professional | None | $12.59 | $27.54 | $186.21 |
Midlands Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Midlands Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Sanford Health Plan Setting Professional Modifier None Typical Low $18.20 Median $33.88 Typical High $33.88 | Professional | None | $18.20 | $33.88 | $33.88 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.60 Typical High $31.62 | Professional | None | $11.75 | $16.60 | $31.62 |
Wellmark Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $40.74 | Professional | None | $34.67 | $40.74 | $40.74 |
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 $9.12 Median $9.33 Typical High $9.77 | Professional | 52 · Reduced service | $9.12 | $9.33 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $3.72 Typical High $3.89 | Professional | 53 · Discontinued | $3.63 | $3.72 | $3.89 |
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· 11th of 51
$31.62
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.