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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $46.77 Typical High $54.95 | Professional | None | $43.65 | $46.77 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $107.15 | Professional | None | $43.65 | $60.26 | $107.15 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $79.43 Typical High $114.82 | Facility | None | $36.31 | $79.43 | $114.82 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $257.04 | Professional | None | $32.36 | $38.02 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $70.79 Median $72.44 Typical High $72.44 | Professional | None | $70.79 | $72.44 | $72.44 |
Sanford Health Plan Setting Professional Modifier None Typical Low $45.71 Median $60.26 Typical High $151.36 | Professional | None | $45.71 | $60.26 | $151.36 |
United Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $75.86 | Professional | None | $33.11 | $42.66 | $75.86 |
Wellmark Setting Professional Modifier None Typical Low $70.79 Median $91.20 Typical High $91.20 | Professional | None | $70.79 | $91.20 | $91.20 |
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 $21.88 Median $23.44 Typical High $27.54 | Professional | 52 · Reduced service | $21.88 | $23.44 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $9.33 Typical High $10.96 | Professional | 53 · Discontinued | $8.91 | $9.33 | $10.96 |
Where South Dakota sits
The same service costs 2.6 times more in Alaska than in Kentucky. 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
$60.26
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.