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 $26.30 Median $29.51 Typical High $38.02 | Facility | None | $26.30 | $29.51 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $29.51 Typical High $35.48 | Professional | None | $26.30 | $29.51 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $38.90 Median $43.65 Typical High $60.26 | Professional | None | $38.90 | $43.65 | $60.26 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $58.88 Typical High $58.88 | Facility | None | $45.71 | $58.88 | $58.88 |
Medica Setting Professional Modifier None Typical Low $37.15 Median $56.23 Typical High $218.78 | Professional | None | $37.15 | $56.23 | $218.78 |
Midlands Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Midlands Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | None | $66.07 | $66.07 | $69.18 |
Sanford Health Plan Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $58.88 | Professional | None | $40.74 | $42.66 | $58.88 |
United Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $81.28 | Professional | None | $33.11 | $37.15 | $81.28 |
Wellmark Setting Professional Modifier None Typical Low $58.88 Median $72.44 Typical High $72.44 | Professional | None | $58.88 | $72.44 | $72.44 |
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 $17.38 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $7.08 | $7.08 | $7.08 |
Where South Dakota sits
The same service costs 2.1 times more in North Dakota 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· 10th of 51
$43.65
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.