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 $42.66 Median $51.29 Typical High $60.26 | Facility | None | $42.66 | $51.29 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $60.26 | Professional | None | $42.66 | $51.29 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $100.00 Typical High $123.03 | Professional | None | $87.10 | $100.00 | $123.03 |
Medica Setting Facility Modifier None Typical Low $75.86 Median $95.50 Typical High $102.33 | Facility | None | $75.86 | $95.50 | $102.33 |
Medica Setting Professional Modifier None Typical Low $128.82 Median $346.74 Typical High $371.54 | Professional | None | $128.82 | $346.74 | $371.54 |
Midlands Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $117.49 | Professional | None | $114.82 | $114.82 | $117.49 |
Midlands Setting Professional Modifier None Typical Low $100.00 Median $102.33 Typical High $114.82 | Professional | None | $100.00 | $102.33 | $114.82 |
Sanford Health Plan Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $112.20 | Professional | None | $57.54 | $70.79 | $112.20 |
United Setting Professional Modifier None Typical Low $51.29 Median $109.65 Typical High $144.54 | Professional | None | $51.29 | $109.65 | $144.54 |
Wellmark Setting Professional Modifier None Typical Low $70.79 Median $85.11 Typical High $107.15 | Professional | None | $70.79 | $85.11 | $107.15 |
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 $28.18 Median $28.18 Typical High $30.20 | Professional | 52 · Reduced service | $28.18 | $28.18 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $12.02 | Professional | 53 · Discontinued | $11.22 | $11.22 | $12.02 |
Where South Dakota sits
The same service costs 2.6 times more in Alaska than in Arizona. 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
$85.11
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.