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 $33.88 Median $33.88 Typical High $77.62 | Facility | None | $33.88 | $33.88 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $144.54 | Professional | None | $33.88 | $42.66 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $83.18 Typical High $295.12 | Professional | None | $64.57 | $83.18 | $295.12 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $93.33 Typical High $234.42 | Facility | None | $48.98 | $93.33 | $234.42 |
Medica Setting Professional Modifier None Typical Low $66.07 Median $97.72 Typical High $707.95 | Professional | None | $66.07 | $97.72 | $707.95 |
Midlands Setting Professional Modifier None Typical Low $66.07 Median $87.10 Typical High $123.03 | Professional | None | $66.07 | $87.10 | $123.03 |
Midlands Setting Professional Modifier None Typical Low $64.57 Median $69.18 Typical High $257.04 | Professional | None | $64.57 | $69.18 | $257.04 |
Sanford Health Plan Setting Professional Modifier None Typical Low $46.77 Median $79.43 Typical High $234.42 | Professional | None | $46.77 | $79.43 | $234.42 |
United Setting Professional Modifier None Typical Low $38.90 Median $66.07 Typical High $141.25 | Professional | None | $38.90 | $66.07 | $141.25 |
Wellmark Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $288.40 | Professional | None | $47.86 | $57.54 | $288.40 |
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 $16.98 Median $17.38 Typical High $70.79 | Professional | 52 · Reduced service | $16.98 | $17.38 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $28.18 | Professional | 53 · Discontinued | $6.92 | $6.92 | $28.18 |
Where South Dakota sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 12th of 51
$85.11
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.