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 $40.74 Median $40.74 Typical High $50.12 | Facility | None | $40.74 | $40.74 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $58.88 | Professional | None | $38.02 | $47.86 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $125.89 | Professional | None | $67.61 | $87.10 | $125.89 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $74.13 Typical High $120.23 | Facility | None | $54.95 | $74.13 | $120.23 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $104.71 Typical High $478.63 | Professional | None | $54.95 | $104.71 | $478.63 |
Midlands Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $97.72 | Professional | None | $79.43 | $97.72 | $97.72 |
Midlands Setting Professional Modifier None Typical Low $77.62 Median $91.20 Typical High $112.20 | Professional | None | $77.62 | $91.20 | $112.20 |
Sanford Health Plan Setting Professional Modifier None Typical Low $44.67 Median $64.57 Typical High $112.20 | Professional | None | $44.67 | $64.57 | $112.20 |
United Setting Professional Modifier None Typical Low $43.65 Median $85.11 Typical High $104.71 | Professional | None | $43.65 | $85.11 | $104.71 |
Wellmark Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $123.03 | Professional | None | $69.18 | $83.18 | $123.03 |
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 $19.05 Median $22.39 Typical High $25.12 | Professional | 52 · Reduced service | $19.05 | $22.39 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $9.12 Typical High $10.00 | Professional | 53 · Discontinued | $7.59 | $9.12 | $10.00 |
Where South Dakota sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 5th of 51
$81.28
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.