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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $114.82 | Professional | None | $74.13 | $74.13 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $144.54 Typical High $190.55 | Professional | None | $125.89 | $144.54 | $190.55 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $257.04 | Facility | None | $104.71 | $123.03 | $257.04 |
Medica Setting Professional Modifier None Typical Low $91.20 Median $186.21 Typical High $1,548.82 | Professional | None | $91.20 | $186.21 | $1,548.82 |
Midlands Setting Professional Modifier None Typical Low $158.49 Median $169.82 Typical High $177.83 | Professional | None | $158.49 | $169.82 | $177.83 |
Midlands Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $177.83 | Professional | None | $102.33 | $102.33 | $177.83 |
Sanford Health Plan Setting Professional Modifier None Typical Low $85.11 Median $112.20 Typical High $208.93 | Professional | None | $85.11 | $112.20 | $208.93 |
United Setting Professional Modifier None Typical Low $85.11 Median $158.49 Typical High $190.55 | Professional | None | $85.11 | $158.49 | $190.55 |
Wellmark Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $173.78 | Professional | None | $141.25 | $147.91 | $173.78 |
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 $39.81 | Professional | 52 · Reduced service | $36.31 | $36.31 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $15.85 | Professional | 53 · Discontinued | $14.79 | $14.79 | $15.85 |
Where South Dakota sits
The same service costs 2.8 times more in Minnesota than in Utah. 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· 10th of 51
$148
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.