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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $102.33 | Professional | None | $72.44 | $72.44 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $194.98 | Professional | None | $114.82 | $131.83 | $194.98 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $199.53 | Facility | None | $104.71 | $123.03 | $199.53 |
Medica Setting Professional Modifier None Typical Low $75.86 Median $151.36 Typical High $1,412.54 | Professional | None | $75.86 | $151.36 | $1,412.54 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $144.54 | Professional | None | $138.04 | $138.04 | $144.54 |
Midlands Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $144.54 | Professional | None | $87.10 | $87.10 | $144.54 |
Sanford Health Plan Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $165.96 | Professional | None | $85.11 | $104.71 | $165.96 |
United Setting Professional Modifier None Typical Low $69.18 Median $128.82 Typical High $162.18 | Professional | None | $69.18 | $128.82 | $162.18 |
Wellmark Setting Professional Modifier None Typical Low $147.91 Median $151.36 Typical High $177.83 | Professional | None | $147.91 | $151.36 | $177.83 |
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 $36.31 Typical High $41.69 | Professional | 52 · Reduced service | $36.31 | $36.31 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $16.60 | Professional | 53 · Discontinued | $14.79 | $14.79 | $16.60 |
Where South Dakota sits
The same service costs 2.7 times more in Minnesota 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
$138
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.