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 $22.91 Median $22.91 Typical High $69.18 | Facility | None | $22.91 | $22.91 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $27.54 Typical High $75.86 | Professional | None | $22.39 | $27.54 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $58.88 Typical High $169.82 | Professional | None | $39.81 | $58.88 | $169.82 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $77.62 Typical High $138.04 | Facility | None | $32.36 | $77.62 | $138.04 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $144.54 Typical High $436.52 | Professional | None | $63.10 | $144.54 | $436.52 |
Midlands Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $131.83 | Professional | None | $44.67 | $56.23 | $131.83 |
Midlands Setting Professional Modifier None Typical Low $45.71 Median $51.29 Typical High $158.49 | Professional | None | $45.71 | $51.29 | $158.49 |
Sanford Health Plan Setting Professional Modifier None Typical Low $29.51 Median $81.28 Typical High $123.03 | Professional | None | $29.51 | $81.28 | $123.03 |
United Setting Professional Modifier None Typical Low $26.92 Median $58.88 Typical High $144.54 | Professional | None | $26.92 | $58.88 | $144.54 |
Wellmark Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $162.18 | Professional | None | $33.11 | $40.74 | $162.18 |
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 $11.22 Median $13.80 Typical High $37.15 | Professional | 52 · Reduced service | $11.22 | $13.80 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.50 Typical High $14.79 | Professional | 53 · Discontinued | $4.47 | $5.50 | $14.79 |
Where South Dakota sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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
$74.13
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.