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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $21.38 Typical High $25.12 | Professional | None | $19.95 | $21.38 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $47.86 | Professional | None | $19.95 | $23.99 | $47.86 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $36.31 Typical High $36.31 | Facility | None | $21.38 | $36.31 | $36.31 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $15.49 Typical High $120.23 | Professional | None | $13.18 | $15.49 | $120.23 |
Midlands Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $30.90 | Professional | None | $28.18 | $30.90 | $30.90 |
Sanford Health Plan Setting Professional Modifier None Typical Low $18.62 Median $25.12 Typical High $67.61 | Professional | None | $18.62 | $25.12 | $67.61 |
United Setting Professional Modifier None Typical Low $13.49 Median $19.50 Typical High $30.90 | Professional | None | $13.49 | $19.50 | $30.90 |
Wellmark Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $41.69 | Professional | None | $32.36 | $41.69 | $41.69 |
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 $10.00 Median $10.72 Typical High $12.30 | Professional | 52 · Reduced service | $10.00 | $10.72 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $4.27 Typical High $5.01 | Professional | 53 · Discontinued | $3.98 | $4.27 | $5.01 |
Where South Dakota sits
The same service costs 2.6 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· 11th of 51
$25.12
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.