How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $109.65 Median $208.93 Typical High $257.04 | Facility | None | $109.65 | $208.93 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $25.70 Typical High $57.54 | Professional | None | $11.75 | $25.70 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $72.44 Typical High $114.82 | Professional | None | $23.44 | $72.44 | $114.82 |
Medica Setting Facility Modifier None Typical Low $16.98 Median $87.10 Typical High $194.98 | Facility | None | $16.98 | $87.10 | $194.98 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $95.50 Typical High $323.59 | Professional | None | $43.65 | $95.50 | $323.59 |
Midlands Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $95.50 | Professional | None | $23.99 | $23.99 | $95.50 |
Sanford Health Plan Setting Professional Modifier None Typical Low $17.38 Median $63.10 Typical High $107.15 | Professional | None | $17.38 | $63.10 | $107.15 |
United Setting Professional Modifier None Typical Low $13.80 Median $38.02 Typical High $107.15 | Professional | None | $13.80 | $38.02 | $107.15 |
Wellmark Setting Professional Modifier None Typical Low $16.22 Median $20.89 Typical High $97.72 | Professional | None | $16.22 | $20.89 | $97.72 |
1 more rate 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 53 · Discontinued Typical Low $2.34 Median $2.95 Typical High $10.23 | Professional | 53 · Discontinued | $2.34 | $2.95 | $10.23 |
Where South Dakota sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 4th of 51
$61.66
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.