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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | None | $125.89 | $125.89 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $234.42 Typical High $323.59 | Professional | None | $199.53 | $234.42 | $323.59 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $213.80 Typical High $251.19 | Facility | None | $131.83 | $213.80 | $251.19 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $295.12 Typical High $912.01 | Professional | None | $125.89 | $295.12 | $912.01 |
Midlands Setting Professional Modifier None Typical Low $223.87 Median $234.42 Typical High $234.42 | Professional | None | $223.87 | $234.42 | $234.42 |
Midlands Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Sanford Health Plan Setting Professional Modifier None Typical Low $138.04 Median $169.82 Typical High $295.12 | Professional | None | $138.04 | $169.82 | $295.12 |
United Setting Professional Modifier None Typical Low $120.23 Median $251.19 Typical High $295.12 | Professional | None | $120.23 | $251.19 | $295.12 |
Wellmark Setting Professional Modifier None Typical Low $263.03 Median $275.42 Typical High $323.59 | Professional | None | $263.03 | $275.42 | $323.59 |
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 $63.10 Median $63.10 Typical High $67.61 | Professional | 52 · Reduced service | $63.10 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | 53 · Discontinued | $25.12 | $25.12 | $26.92 |
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
$234
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.