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 $208.93 Median $208.93 Typical High $213.80 | Facility | None | $208.93 | $208.93 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $234.42 | Professional | None | $199.53 | $208.93 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $537.03 | Professional | None | $354.81 | $426.58 | $537.03 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $338.84 Typical High $346.74 | Facility | None | $275.42 | $338.84 | $346.74 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $446.68 Typical High $1,288.25 | Professional | None | $234.42 | $446.68 | $1,288.25 |
Midlands Setting Professional Modifier None Typical Low $407.38 Median $416.87 Typical High $436.52 | Professional | None | $407.38 | $416.87 | $436.52 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $436.52 | Professional | None | $416.87 | $416.87 | $436.52 |
Sanford Health Plan Setting Professional Modifier None Typical Low $234.42 Median $302.00 Typical High $398.11 | Professional | None | $234.42 | $302.00 | $398.11 |
United Setting Professional Modifier None Typical Low $208.93 Median $380.19 Typical High $446.68 | Professional | None | $208.93 | $380.19 | $446.68 |
Wellmark Setting Professional Modifier None Typical Low $354.81 Median $436.52 Typical High $537.03 | Professional | None | $354.81 | $436.52 | $537.03 |
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 $102.33 Median $102.33 Typical High $112.20 | Professional | 52 · Reduced service | $102.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $41.69 Typical High $45.71 | Professional | 53 · Discontinued | $40.74 | $41.69 | $45.71 |
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· 3rd of 51
$407
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.