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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $51.29 Typical High $61.66 | Professional | None | $50.12 | $51.29 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $128.82 | Professional | None | $87.10 | $104.71 | $128.82 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $85.11 Typical High $87.10 | Facility | None | $69.18 | $85.11 | $87.10 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $112.20 Typical High $331.13 | Professional | None | $58.88 | $112.20 | $331.13 |
Midlands Setting Professional Modifier None Typical Low $104.71 Median $104.71 Typical High $112.20 | Professional | None | $104.71 | $104.71 | $112.20 |
Midlands Setting Professional Modifier None Typical Low $100.00 Median $102.33 Typical High $112.20 | Professional | None | $100.00 | $102.33 | $112.20 |
Sanford Health Plan Setting Professional Modifier None Typical Low $54.95 Median $81.28 Typical High $128.82 | Professional | None | $54.95 | $81.28 | $128.82 |
United Setting Professional Modifier None Typical Low $53.70 Median $95.50 Typical High $112.20 | Professional | None | $53.70 | $95.50 | $112.20 |
Wellmark Setting Professional Modifier None Typical Low $85.11 Median $104.71 Typical High $123.03 | Professional | None | $85.11 | $104.71 | $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 $25.12 Median $25.70 Typical High $27.54 | Professional | 52 · Reduced service | $25.12 | $25.70 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.23 Typical High $10.96 | Professional | 53 · Discontinued | $10.00 | $10.23 | $10.96 |
Where South Dakota sits
The same service costs 2.7 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
$105
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.