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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $177.83 Typical High $275.42 | Professional | None | $177.83 | $177.83 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $457.09 | Professional | None | $316.23 | $323.59 | $457.09 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $302.00 Typical High $512.86 | Facility | None | $257.04 | $302.00 | $512.86 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $426.58 Typical High $1,737.80 | Professional | None | $204.17 | $426.58 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $407.38 | Professional | None | $380.19 | $380.19 | $407.38 |
Midlands Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $407.38 | Professional | None | $239.88 | $239.88 | $407.38 |
Sanford Health Plan Setting Professional Modifier None Typical Low $194.98 Median $245.47 Typical High $467.74 | Professional | None | $194.98 | $245.47 | $467.74 |
United Setting Professional Modifier None Typical Low $194.98 Median $363.08 Typical High $436.52 | Professional | None | $194.98 | $363.08 | $436.52 |
Wellmark Setting Professional Modifier None Typical Low $338.84 Median $354.81 Typical High $416.87 | Professional | None | $338.84 | $354.81 | $416.87 |
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 $89.13 Median $89.13 Typical High $95.50 | Professional | 52 · Reduced service | $89.13 | $89.13 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $35.48 Typical High $38.90 | Professional | 53 · Discontinued | $35.48 | $35.48 | $38.90 |
Where South Dakota sits
The same service costs 2.5 times more in Minnesota 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· 10th of 51
$339
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.