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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $72.44 | Professional | None | $52.48 | $52.48 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $141.25 Typical High $158.49 | Professional | None | $112.20 | $141.25 | $158.49 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $89.13 Typical High $125.89 | Facility | None | $53.70 | $89.13 | $125.89 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $144.54 Typical High $457.09 | Professional | None | $70.79 | $144.54 | $457.09 |
Midlands Setting Professional Modifier None Typical Low $114.82 Median $141.25 Typical High $144.54 | Professional | None | $114.82 | $141.25 | $144.54 |
Midlands Setting Professional Modifier None Typical Low $112.20 Median $144.54 Typical High $158.49 | Professional | None | $112.20 | $144.54 | $158.49 |
Sanford Health Plan Setting Professional Modifier None Typical Low $83.18 Median $102.33 Typical High $151.36 | Professional | None | $83.18 | $102.33 | $151.36 |
United Setting Professional Modifier None Typical Low $64.57 Median $104.71 Typical High $144.54 | Professional | None | $64.57 | $104.71 | $144.54 |
Wellmark Setting Professional Modifier None Typical Low $87.10 Median $89.13 Typical High $109.65 | Professional | None | $87.10 | $89.13 | $109.65 |
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 $26.30 Median $26.30 Typical High $32.36 | Professional | 52 · Reduced service | $26.30 | $26.30 | $32.36 |
Where South Dakota sits
The same service costs 3.0 times more in Alaska than in New York. 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
$117
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.