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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $16.98 | Professional | None | $12.02 | $12.02 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $31.62 | Professional | None | $19.95 | $25.12 | $31.62 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $20.42 Typical High $48.98 | Facility | None | $17.38 | $20.42 | $48.98 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $33.88 Typical High $91.20 | Professional | None | $15.85 | $33.88 | $91.20 |
Midlands Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $33.88 | Professional | None | $28.84 | $28.84 | $33.88 |
Sanford Health Plan Setting Professional Modifier None Typical Low $13.49 Median $16.98 Typical High $22.91 | Professional | None | $13.49 | $16.98 | $22.91 |
United Setting Professional Modifier None Typical Low $15.49 Median $28.84 Typical High $33.88 | Professional | None | $15.49 | $28.84 | $33.88 |
Wellmark Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $28.84 | Professional | None | $23.44 | $24.55 | $28.84 |
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 $6.03 Median $6.03 Typical High $6.61 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.63 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.63 |
Where South Dakota sits
The same service costs 3.0 times more in Minnesota 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· 7th of 51
$24.55
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.