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 $12.02 Median $12.02 Typical High $40.74 | Facility | None | $12.02 | $12.02 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $23.99 Typical High $45.71 | Professional | None | $11.22 | $23.99 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $30.90 Typical High $95.50 | Professional | None | $22.39 | $30.90 | $95.50 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $48.98 Typical High $63.10 | Facility | None | $16.22 | $48.98 | $63.10 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $75.86 Typical High $245.47 | Professional | None | $33.88 | $75.86 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $23.44 Median $75.86 Typical High $75.86 | Professional | None | $23.44 | $75.86 | $75.86 |
Sanford Health Plan Setting Professional Modifier None Typical Low $16.98 Median $30.20 Typical High $67.61 | Professional | None | $16.98 | $30.20 | $67.61 |
United Setting Professional Modifier None Typical Low $14.79 Median $33.11 Typical High $85.11 | Professional | None | $14.79 | $33.11 | $85.11 |
Wellmark Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $89.13 | Professional | None | $24.55 | $24.55 | $89.13 |
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 $5.62 Median $7.24 Typical High $20.42 | Professional | 52 · Reduced service | $5.62 | $7.24 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.88 Typical High $8.32 | Professional | 53 · Discontinued | $2.24 | $2.88 | $8.32 |
Where South Dakota sits
The same service costs 2.5 times more in Kansas than in Maryland. 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· 11th of 51
$43.65
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.