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 $31.62 Median $31.62 Typical High $41.69 | Facility | None | $31.62 | $31.62 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $29.51 Typical High $38.02 | Professional | None | $22.39 | $29.51 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $67.61 Typical High $91.20 | Professional | None | $47.86 | $67.61 | $91.20 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $38.02 Typical High $51.29 | Facility | None | $29.51 | $38.02 | $51.29 |
Medica Setting Professional Modifier None Typical Low $39.81 Median $77.62 Typical High $251.19 | Professional | None | $39.81 | $77.62 | $251.19 |
Midlands Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | None | $61.66 | $61.66 | $77.62 |
Midlands Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $81.28 | Professional | None | $48.98 | $60.26 | $81.28 |
Sanford Health Plan Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $74.13 | Professional | None | $34.67 | $50.12 | $74.13 |
United Setting Professional Modifier None Typical Low $29.51 Median $53.70 Typical High $79.43 | Professional | None | $29.51 | $53.70 | $79.43 |
Wellmark Setting Professional Modifier None Typical Low $36.31 Median $37.15 Typical High $58.88 | Professional | None | $36.31 | $37.15 | $58.88 |
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 $10.96 Median $14.79 Typical High $17.38 | Professional | 52 · Reduced service | $10.96 | $14.79 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $5.89 Typical High $7.08 | Professional | 53 · Discontinued | $4.47 | $5.89 | $7.08 |
Where South Dakota sits
The same service costs 2.4 times more in Alaska than in New Jersey. 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
$58.88
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.