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 $489.78 Median $724.44 Typical High $724.44 | Facility | None | $489.78 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $34.67 | Professional | None | $18.62 | $18.62 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $38.90 Typical High $47.86 | Professional | None | $30.90 | $38.90 | $47.86 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $51.29 Typical High $478.63 | Facility | None | $26.92 | $51.29 | $478.63 |
Medica Setting Professional Modifier None Typical Low $26.92 Median $53.70 Typical High $309.03 | Professional | None | $26.92 | $53.70 | $309.03 |
Sanford Health Plan Setting Professional Modifier None Typical Low $21.38 Median $32.36 Typical High $60.26 | Professional | None | $21.38 | $32.36 | $60.26 |
United Setting Professional Modifier None Typical Low $23.99 Median $45.71 Typical High $56.23 | Professional | None | $23.99 | $45.71 | $56.23 |
Wellmark Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $43.65 | Professional | None | $36.31 | $37.15 | $43.65 |
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 $9.33 Median $9.33 Typical High $10.23 | Professional | 52 · Reduced service | $9.33 | $9.33 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.07 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.07 |
Where South Dakota sits
The same service costs 3.0 times more in Minnesota than in Pennsylvania. 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· 14th of 51
$37.15
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.