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 $93.33 Median $104.71 Typical High $128.82 | Facility | None | $93.33 | $104.71 | $128.82 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $104.71 Typical High $123.03 | Professional | None | $93.33 | $104.71 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $229.09 Typical High $288.40 | Professional | None | $208.93 | $229.09 | $288.40 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $208.93 Typical High $208.93 | Facility | None | $169.82 | $208.93 | $208.93 |
Medica Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $794.33 | Professional | None | $100.00 | $100.00 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $263.03 | Professional | None | $251.19 | $251.19 | $263.03 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $229.09 Typical High $269.15 | Professional | None | $218.78 | $229.09 | $269.15 |
Sanford Health Plan Setting Professional Modifier None Typical Low $134.90 Median $151.36 Typical High $223.87 | Professional | None | $134.90 | $151.36 | $223.87 |
United Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $134.90 | Professional | None | $100.00 | $100.00 | $134.90 |
Wellmark Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $239.88 | Professional | None | $165.96 | $204.17 | $239.88 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $24.55 | $25.12 | $25.12 |
Where South Dakota sits
The same service costs 2.4 times more in Alaska than in Ohio. 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· 7th of 51
$166
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.