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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $45.71 Typical High $53.70 | Professional | None | $42.66 | $45.71 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $60.26 Typical High $104.71 | Professional | None | $42.66 | $60.26 | $104.71 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $77.62 Typical High $83.18 | Facility | None | $36.31 | $77.62 | $83.18 |
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 $67.61 Median $67.61 Typical High $70.79 | Professional | None | $67.61 | $67.61 | $70.79 |
Sanford Health Plan Setting Professional Modifier None Typical Low $44.67 Median $61.66 Typical High $144.54 | Professional | None | $44.67 | $61.66 | $144.54 |
United Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $75.86 | Professional | None | $33.11 | $41.69 | $75.86 |
Wellmark Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $85.11 | Professional | None | $66.07 | $85.11 | $85.11 |
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 $21.38 Median $22.91 Typical High $26.92 | Professional | 52 · Reduced service | $21.38 | $22.91 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.12 Typical High $10.72 | Professional | 53 · Discontinued | $8.51 | $9.12 | $10.72 |
Where South Dakota sits
The same service costs 2.9 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· 6th of 51
$61.66
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.