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 $1.48 Median $1.70 Typical High $2.19 | Facility | None | $1.48 | $1.70 | $2.19 |
Aetna Setting Professional Modifier None Typical Low $1.62 Median $1.86 Typical High $2.19 | Professional | None | $1.62 | $1.86 | $2.19 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $5.01 | Professional | None | $2.45 | $3.09 | $5.01 |
Medica Setting Facility Modifier None Typical Low $2.34 Median $3.72 Typical High $3.72 | Facility | None | $2.34 | $3.72 | $3.72 |
Medica Setting Professional Modifier None Typical Low $1.95 Median $2.95 Typical High $13.18 | Professional | None | $1.95 | $2.95 | $13.18 |
Midlands Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $3.63 | Professional | None | $3.55 | $3.55 | $3.63 |
Midlands Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $4.27 | Professional | None | $3.63 | $3.63 | $4.27 |
Sanford Health Plan Setting Professional Modifier None Typical Low $2.51 Median $2.69 Typical High $3.89 | Professional | None | $2.51 | $2.69 | $3.89 |
United Setting Professional Modifier None Typical Low $1.91 Median $1.95 Typical High $4.07 | Professional | None | $1.91 | $1.95 | $4.07 |
Wellmark Setting Professional Modifier None Typical Low $3.63 Median $4.37 Typical High $4.37 | Professional | None | $3.63 | $4.37 | $4.37 |
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 $1.10 Median $1.10 Typical High $1.10 | Professional | 52 · Reduced service | $1.10 | $1.10 | $1.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | 53 · Discontinued | $0.44 | $0.44 | $0.44 |
Where South Dakota sits
The same service costs 2.2 times more in North Dakota 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
$2.82
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.