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 $407.38 Median $407.38 Typical High $416.87 | Facility | None | $407.38 | $407.38 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $398.11 Median $407.38 Typical High $489.78 | Professional | None | $398.11 | $407.38 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $831.76 Typical High $1,047.13 | Professional | None | $691.83 | $831.76 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $676.08 Typical High $676.08 | Facility | None | $537.03 | $676.08 | $676.08 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $870.96 Typical High $10,000.00 | Professional | None | $457.09 | $870.96 | $10,000.00 |
Midlands Setting Professional Modifier None Typical Low $794.33 Median $812.83 Typical High $851.14 | Professional | None | $794.33 | $812.83 | $851.14 |
Midlands Setting Professional Modifier None Typical Low $812.83 Median $831.76 Typical High $851.14 | Professional | None | $812.83 | $831.76 | $851.14 |
Sanford Health Plan Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $794.33 | Professional | None | $457.09 | $588.84 | $794.33 |
United Setting Professional Modifier None Typical Low $416.87 Median $741.31 Typical High $870.96 | Professional | None | $416.87 | $741.31 | $870.96 |
Wellmark Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $1,047.13 | Professional | None | $691.83 | $851.14 | $1,047.13 |
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 $199.53 Median $204.17 Typical High $223.87 | Professional | 52 · Reduced service | $199.53 | $204.17 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $81.28 Typical High $89.13 | Professional | 53 · Discontinued | $79.43 | $81.28 | $89.13 |
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
$794
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.