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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $39.81 Typical High $44.67 | Professional | None | $37.15 | $39.81 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $56.23 Typical High $70.79 | Professional | None | $54.95 | $56.23 | $70.79 |
Medica Setting Facility Modifier None Typical Low $23.44 Median $67.61 Typical High $77.62 | Facility | None | $23.44 | $67.61 | $77.62 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $234.42 | Professional | None | $30.20 | $35.48 | $234.42 |
Midlands Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $66.07 | Professional | None | $48.98 | $48.98 | $66.07 |
Sanford Health Plan Setting Professional Modifier None Typical Low $42.66 Median $57.54 Typical High $123.03 | Professional | None | $42.66 | $57.54 | $123.03 |
United Setting Professional Modifier None Typical Low $30.20 Median $37.15 Typical High $64.57 | Professional | None | $30.20 | $37.15 | $64.57 |
Wellmark Setting Professional Modifier None Typical Low $47.86 Median $50.12 Typical High $58.88 | Professional | None | $47.86 | $50.12 | $58.88 |
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 $18.62 Median $19.95 Typical High $22.39 | Professional | 52 · Reduced service | $18.62 | $19.95 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.13 Typical High $8.91 | Professional | 53 · Discontinued | $7.41 | $8.13 | $8.91 |
Where South Dakota sits
The same service costs 3.4 times more in Alaska 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· 8th of 51
$53.70
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.