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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $79.43 Typical High $91.20 | Professional | None | $72.44 | $79.43 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $107.15 Typical High $177.83 | Professional | None | $72.44 | $107.15 | $177.83 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $134.90 Typical High $134.90 | Facility | None | $35.48 | $134.90 | $134.90 |
Medica Setting Professional Modifier None Typical Low $35.48 Median $56.23 Typical High $436.52 | Professional | None | $35.48 | $56.23 | $436.52 |
Midlands Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $125.89 | Professional | None | $85.11 | $85.11 | $125.89 |
Sanford Health Plan Setting Professional Modifier None Typical Low $50.12 Median $89.13 Typical High $251.19 | Professional | None | $50.12 | $89.13 | $251.19 |
United Setting Professional Modifier None Typical Low $37.15 Median $69.18 Typical High $117.49 | Professional | None | $37.15 | $69.18 | $117.49 |
Wellmark Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $144.54 | Professional | None | $112.20 | $144.54 | $144.54 |
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 $36.31 Median $39.81 Typical High $45.71 | Professional | 52 · Reduced service | $36.31 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.85 Typical High $18.20 | Professional | 53 · Discontinued | $14.45 | $15.85 | $18.20 |
Where South Dakota sits
The same service costs 4.5 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· 4th of 51
$107
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.