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 $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $35.48 Typical High $40.74 | Professional | None | $32.36 | $35.48 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $77.62 | Professional | None | $32.36 | $48.98 | $77.62 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $60.26 Typical High $69.18 | Facility | None | $20.42 | $60.26 | $69.18 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $204.17 | Professional | None | $26.30 | $30.90 | $204.17 |
Midlands Setting Professional Modifier None Typical Low $57.54 Median $58.88 Typical High $58.88 | Professional | None | $57.54 | $58.88 | $58.88 |
Sanford Health Plan Setting Professional Modifier None Typical Low $37.15 Median $50.12 Typical High $109.65 | Professional | None | $37.15 | $50.12 | $109.65 |
United Setting Professional Modifier None Typical Low $26.30 Median $33.11 Typical High $60.26 | Professional | None | $26.30 | $33.11 | $60.26 |
Wellmark Setting Professional Modifier None Typical Low $51.29 Median $66.07 Typical High $66.07 | Professional | None | $51.29 | $66.07 | $66.07 |
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 $16.22 Median $17.78 Typical High $20.42 | Professional | 52 · Reduced service | $16.22 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.08 Typical High $8.13 | Professional | 53 · Discontinued | $6.46 | $7.08 | $8.13 |
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
$48.98
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.