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 $257.04 Median $257.04 Typical High $263.03 | Facility | None | $257.04 | $257.04 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $251.19 Typical High $309.03 | Professional | None | $245.47 | $251.19 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $645.65 | Professional | None | $436.52 | $524.81 | $645.65 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $416.87 Typical High $426.58 | Facility | None | $331.13 | $416.87 | $426.58 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $549.54 Typical High $1,584.89 | Professional | None | $288.40 | $549.54 | $1,584.89 |
Midlands Setting Professional Modifier None Typical Low $501.19 Median $512.86 Typical High $537.03 | Professional | None | $501.19 | $512.86 | $537.03 |
Midlands Setting Professional Modifier None Typical Low $501.19 Median $512.86 Typical High $537.03 | Professional | None | $501.19 | $512.86 | $537.03 |
Sanford Health Plan Setting Professional Modifier None Typical Low $281.84 Median $371.54 Typical High $489.78 | Professional | None | $281.84 | $371.54 | $489.78 |
United Setting Professional Modifier None Typical Low $263.03 Median $467.74 Typical High $549.54 | Professional | None | $263.03 | $467.74 | $549.54 |
Wellmark Setting Professional Modifier None Typical Low $426.58 Median $524.81 Typical High $645.65 | Professional | None | $426.58 | $524.81 | $645.65 |
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 $123.03 Median $125.89 Typical High $138.04 | Professional | 52 · Reduced service | $123.03 | $125.89 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $56.23 | Professional | 53 · Discontinued | $48.98 | $50.12 | $56.23 |
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
$501
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.