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 $89.13 Median $134.90 Typical High $1,230.27 | Facility | None | $89.13 | $134.90 | $1,230.27 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $104.71 Typical High $128.82 | Professional | None | $79.43 | $104.71 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $218.78 | Professional | None | $128.82 | $158.49 | $218.78 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $177.83 Typical High $218.78 | Facility | None | $151.36 | $177.83 | $218.78 |
Medica Setting Professional Modifier None Typical Low $138.04 Median $660.69 Typical High $812.83 | Professional | None | $138.04 | $660.69 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $223.87 Typical High $257.04 | Professional | None | $213.80 | $223.87 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $186.21 Median $218.78 Typical High $269.15 | Professional | None | $186.21 | $218.78 | $269.15 |
Sanford Health Plan Setting Professional Modifier None Typical Low $117.49 Median $151.36 Typical High $208.93 | Professional | None | $117.49 | $151.36 | $208.93 |
United Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $269.15 | Professional | None | $117.49 | $138.04 | $269.15 |
Wellmark Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $234.42 | Professional | None | $151.36 | $186.21 | $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 $52.48 Median $58.88 Typical High $64.57 | Professional | 52 · Reduced service | $52.48 | $58.88 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $23.44 Typical High $26.30 | Professional | 53 · Discontinued | $21.38 | $23.44 | $26.30 |
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· 7th of 51
$155
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.