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 $120.23 Median $120.23 Typical High $194.98 | Facility | None | $120.23 | $120.23 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $194.98 | Professional | None | $158.49 | $158.49 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $380.19 Typical High $549.54 | Professional | None | $323.59 | $380.19 | $549.54 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $269.15 Typical High $371.54 | Facility | None | $112.20 | $269.15 | $371.54 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $363.08 Typical High $1,445.44 | Professional | None | $169.82 | $363.08 | $1,445.44 |
Midlands Setting Professional Modifier None Typical Low $354.81 Median $380.19 Typical High $380.19 | Professional | None | $354.81 | $380.19 | $380.19 |
Midlands Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $446.68 | Professional | None | $363.08 | $363.08 | $446.68 |
Sanford Health Plan Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $426.58 | Professional | None | $239.88 | $275.42 | $426.58 |
United Setting Professional Modifier None Typical Low $169.82 Median $338.84 Typical High $416.87 | Professional | None | $169.82 | $338.84 | $416.87 |
Wellmark Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $489.78 | Professional | None | $398.11 | $416.87 | $489.78 |
1 more rate 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 $79.43 Median $79.43 Typical High $95.50 | Professional | 52 · Reduced service | $79.43 | $79.43 | $95.50 |
Where South Dakota sits
The same service costs 3.2 times more in Alaska than in Florida. 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· 6th of 51
$363
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.