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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $26.92 | Professional | None | $23.99 | $23.99 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $50.12 Typical High $63.10 | Professional | None | $38.90 | $50.12 | $63.10 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $40.74 Typical High $61.66 | Facility | None | $34.67 | $40.74 | $61.66 |
Medica Setting Professional Modifier None Typical Low $25.70 Median $51.29 Typical High $177.83 | Professional | None | $25.70 | $51.29 | $177.83 |
Midlands Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $56.23 | Professional | None | $50.12 | $50.12 | $56.23 |
Midlands Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $47.86 | Professional | None | $26.30 | $26.30 | $47.86 |
Sanford Health Plan Setting Professional Modifier None Typical Low $28.18 Median $30.90 Typical High $46.77 | Professional | None | $28.18 | $30.90 | $46.77 |
United Setting Professional Modifier None Typical Low $22.91 Median $45.71 Typical High $53.70 | Professional | None | $22.91 | $45.71 | $53.70 |
Wellmark Setting Professional Modifier None Typical Low $45.71 Median $46.77 Typical High $54.95 | Professional | None | $45.71 | $46.77 | $54.95 |
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 $12.02 Median $12.02 Typical High $13.18 | Professional | 52 · Reduced service | $12.02 | $12.02 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $5.37 | Professional | 53 · Discontinued | $4.79 | $4.79 | $5.37 |
Where South Dakota sits
The same service costs 2.6 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.