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 $17.38 Median $31.62 Typical High $42.66 | Facility | None | $17.38 | $31.62 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $31.62 Typical High $42.66 | Professional | None | $17.38 | $31.62 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $47.86 Typical High $77.62 | Professional | None | $28.18 | $47.86 | $77.62 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $58.88 Typical High $72.44 | Facility | None | $33.11 | $58.88 | $72.44 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $147.91 Typical High $275.42 | Professional | None | $46.77 | $147.91 | $275.42 |
Midlands Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $91.20 | Professional | None | $48.98 | $60.26 | $91.20 |
Midlands Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $85.11 | Professional | None | $42.66 | $47.86 | $85.11 |
Sanford Health Plan Setting Professional Modifier None Typical Low $26.92 Median $51.29 Typical High $61.66 | Professional | None | $26.92 | $51.29 | $61.66 |
United Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $87.10 | Professional | None | $39.81 | $46.77 | $87.10 |
Wellmark Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $83.18 | Professional | None | $33.11 | $40.74 | $83.18 |
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 $11.75 Median $14.79 Typical High $21.38 | Professional | 52 · Reduced service | $11.75 | $14.79 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $6.03 Typical High $8.51 | Professional | 53 · Discontinued | $4.68 | $6.03 | $8.51 |
Where South Dakota sits
The same service costs 2.3 times more in Hawaii than in Washington, DC. 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· 19th of 51
$42.66
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.