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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $63.10 | Professional | None | $48.98 | $48.98 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $93.33 Typical High $120.23 | Professional | None | $75.86 | $93.33 | $120.23 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $81.28 Typical High $81.28 | Facility | None | $66.07 | $81.28 | $81.28 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $107.15 Typical High $346.74 | Professional | None | $63.10 | $107.15 | $346.74 |
Midlands Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $107.15 | Professional | None | $77.62 | $107.15 | $107.15 |
Sanford Health Plan Setting Professional Modifier None Typical Low $51.29 Median $64.57 Typical High $91.20 | Professional | None | $51.29 | $64.57 | $91.20 |
United Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $112.20 | Professional | None | $52.48 | $97.72 | $112.20 |
Wellmark Setting Professional Modifier None Typical Low $75.86 Median $79.43 Typical High $93.33 | Professional | None | $75.86 | $79.43 | $93.33 |
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 $23.99 Median $23.99 Typical High $25.70 | Professional | 52 · Reduced service | $23.99 | $23.99 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $10.23 | Professional | 53 · Discontinued | $9.77 | $9.77 | $10.23 |
Where South Dakota sits
The same service costs 2.6 times more in Nebraska 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· 5th of 51
$91.20
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.