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 $181.97 Median $181.97 Typical High $263.03 | Facility | None | $181.97 | $181.97 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $257.04 | Professional | None | $144.54 | $204.17 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $426.58 Typical High $575.44 | Professional | None | $295.12 | $426.58 | $575.44 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $346.74 | Facility | None | $204.17 | $245.47 | $346.74 |
Medica Setting Professional Modifier None Typical Low $234.42 Median $489.78 Typical High $1,737.80 | Professional | None | $234.42 | $489.78 | $1,737.80 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $371.54 Typical High $489.78 | Professional | None | $346.74 | $371.54 | $489.78 |
Midlands Setting Professional Modifier None Typical Low $275.42 Median $389.05 Typical High $562.34 | Professional | None | $275.42 | $389.05 | $562.34 |
Sanford Health Plan Setting Professional Modifier None Typical Low $223.87 Median $331.13 Typical High $467.74 | Professional | None | $223.87 | $331.13 | $467.74 |
United Setting Professional Modifier None Typical Low $169.82 Median $302.00 Typical High $489.78 | Professional | None | $169.82 | $302.00 | $489.78 |
Wellmark Setting Professional Modifier None Typical Low $234.42 Median $239.88 Typical High $416.87 | Professional | None | $234.42 | $239.88 | $416.87 |
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 52 · Reduced service Typical Low $70.79 Median $97.72 Typical High $120.23 | Professional | 52 · Reduced service | $70.79 | $97.72 | $120.23 |
Where South Dakota sits
The same service costs 2.7 times more in Alaska than in Alabama. 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
$347
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.