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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | None | $22.91 | $22.91 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $60.26 | Professional | None | $38.02 | $47.86 | $60.26 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $38.90 | Facility | None | $32.36 | $38.90 | $38.90 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $53.70 Typical High $151.36 | Professional | None | $25.70 | $53.70 | $151.36 |
Midlands Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $58.88 | Professional | None | $46.77 | $46.77 | $58.88 |
Sanford Health Plan Setting Professional Modifier None Typical Low $26.30 Median $30.90 Typical High $43.65 | Professional | None | $26.30 | $30.90 | $43.65 |
United Setting Professional Modifier None Typical Low $24.55 Median $45.71 Typical High $53.70 | Professional | None | $24.55 | $45.71 | $53.70 |
Wellmark Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $56.23 | Professional | None | $45.71 | $46.77 | $56.23 |
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 $11.48 Median $11.48 Typical High $12.59 | Professional | 52 · Reduced service | $11.48 | $11.48 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $5.01 | Professional | 53 · Discontinued | $4.57 | $4.57 | $5.01 |
Where South Dakota sits
The same service costs 2.8 times more in Alaska 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· 7th of 51
$45.71
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.