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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $58.88 Typical High $67.61 | Professional | None | $53.70 | $58.88 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $128.82 | Professional | None | $53.70 | $75.86 | $128.82 |
Medica Setting Facility Modifier None Typical Low $46.77 Median $97.72 Typical High $112.20 | Facility | None | $46.77 | $97.72 | $112.20 |
Medica Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $323.59 | Professional | None | $42.66 | $51.29 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $89.13 Median $93.33 Typical High $93.33 | Professional | None | $89.13 | $93.33 | $93.33 |
Sanford Health Plan Setting Professional Modifier None Typical Low $58.88 Median $81.28 Typical High $186.21 | Professional | None | $58.88 | $81.28 | $186.21 |
United Setting Professional Modifier None Typical Low $41.69 Median $53.70 Typical High $97.72 | Professional | None | $41.69 | $53.70 | $97.72 |
Wellmark Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $112.20 | Professional | None | $87.10 | $112.20 | $112.20 |
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 $26.92 Median $29.51 Typical High $33.88 | Professional | 52 · Reduced service | $26.92 | $29.51 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $11.75 Typical High $13.49 | Professional | 53 · Discontinued | $10.96 | $11.75 | $13.49 |
Where South Dakota sits
The same service costs 2.6 times more in Alaska than in Indiana. 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
$79.43
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.