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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $239.88 Typical High $281.84 | Professional | None | $42.66 | $239.88 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $660.69 | Professional | None | $416.87 | $537.03 | $660.69 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $407.38 Typical High $407.38 | Facility | None | $346.74 | $407.38 | $407.38 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $83.18 Typical High $1,258.93 | Professional | None | $43.65 | $83.18 | $1,258.93 |
Midlands Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Sanford Health Plan Setting Professional Modifier None Typical Low $269.15 Median $331.13 Typical High $467.74 | Professional | None | $269.15 | $331.13 | $467.74 |
United Setting Professional Modifier None Typical Low $39.81 Median $72.44 Typical High $263.03 | Professional | None | $39.81 | $72.44 | $263.03 |
Wellmark Setting Professional Modifier None Typical Low $501.19 Median $524.81 Typical High $616.60 | Professional | None | $501.19 | $524.81 | $616.60 |
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 $120.23 Median $120.23 Typical High $138.04 | Professional | 52 · Reduced service | $120.23 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $56.23 | Professional | 53 · Discontinued | $47.86 | $47.86 | $56.23 |
Where South Dakota sits
The same service costs 13.5 times more in Minnesota than in Indiana. 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
$447
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.