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 $46.77 Median $91.20 Typical High $91.20 | Facility | None | $46.77 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $158.49 | Professional | None | $104.71 | $147.91 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $177.83 Median $309.03 Typical High $478.63 | Professional | None | $177.83 | $309.03 | $478.63 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $194.98 Typical High $275.42 | Facility | None | $173.78 | $194.98 | $275.42 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $891.25 Typical High $1,288.25 | Professional | None | $194.98 | $891.25 | $1,288.25 |
Midlands Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $309.03 | Professional | None | $208.93 | $223.87 | $309.03 |
Sanford Health Plan Setting Professional Modifier None Typical Low $162.18 Median $239.88 Typical High $323.59 | Professional | None | $162.18 | $239.88 | $323.59 |
United Setting Professional Modifier None Typical Low $131.83 Median $239.88 Typical High $363.08 | Professional | None | $131.83 | $239.88 | $363.08 |
Wellmark Setting Professional Modifier None Typical Low $144.54 Median $173.78 Typical High $309.03 | Professional | None | $144.54 | $173.78 | $309.03 |
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 $52.48 Median $66.07 Typical High $77.62 | Professional | 52 · Reduced service | $52.48 | $66.07 | $77.62 |
Where South Dakota sits
The same service costs 2.8 times more in Alaska 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· 6th of 51
$245
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.