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 $81.28 Median $102.33 Typical High $120.23 | Facility | None | $81.28 | $102.33 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $102.33 Typical High $120.23 | Professional | None | $81.28 | $102.33 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $194.98 | Professional | None | $120.23 | $162.18 | $194.98 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $181.97 Typical High $204.17 | Facility | None | $151.36 | $181.97 | $204.17 |
Medica Setting Professional Modifier None Typical Low $125.89 Median $676.08 Typical High $741.31 | Professional | None | $125.89 | $676.08 | $741.31 |
Midlands Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $234.42 | Professional | None | $218.78 | $218.78 | $234.42 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $251.19 | Professional | None | $186.21 | $199.53 | $251.19 |
Sanford Health Plan Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $204.17 | Professional | None | $120.23 | $141.25 | $204.17 |
United Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $251.19 | Professional | None | $107.15 | $125.89 | $251.19 |
Wellmark Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $234.42 | Professional | None | $154.88 | $190.55 | $234.42 |
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 $54.95 Median $58.88 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.44 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $23.44 | $23.99 |
Where South Dakota sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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· 8th of 51
$145
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.