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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $134.90 Typical High $158.49 | Professional | None | $128.82 | $134.90 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $346.74 | Professional | None | $223.87 | $275.42 | $346.74 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $223.87 Typical High $229.09 | Facility | None | $177.83 | $223.87 | $229.09 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $281.84 Typical High $1,258.93 | Professional | None | $147.91 | $281.84 | $1,258.93 |
Midlands Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $281.84 | Professional | None | $263.03 | $263.03 | $281.84 |
Midlands Setting Professional Modifier None Typical Low $269.15 Median $275.42 Typical High $281.84 | Professional | None | $269.15 | $275.42 | $281.84 |
Sanford Health Plan Setting Professional Modifier None Typical Low $151.36 Median $194.98 Typical High $263.03 | Professional | None | $151.36 | $194.98 | $263.03 |
United Setting Professional Modifier None Typical Low $134.90 Median $239.88 Typical High $281.84 | Professional | None | $134.90 | $239.88 | $281.84 |
Wellmark Setting Professional Modifier None Typical Low $223.87 Median $275.42 Typical High $338.84 | Professional | None | $223.87 | $275.42 | $338.84 |
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 $66.07 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $66.07 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $26.30 | $26.92 | $29.51 |
Where South Dakota sits
The same service costs 2.8 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· 4th of 51
$263
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.