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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,174.90 | Professional | None | $912.01 | $1,174.90 | $1,174.90 |
Cigna Setting Facility Modifier RR · Rental Typical Low $67.61 Median $67.61 Typical High $194.98 | Facility | RR · Rental | $67.61 | $67.61 | $194.98 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $5,128.61 | Professional | None | $4,073.80 | $4,073.80 | $5,128.61 |
Cigna Setting Professional Modifier RR · Rental Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | RR · Rental | $190.55 | $190.55 | $208.93 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $1,995.26 Typical High $3,235.94 | Facility | None | $190.55 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $83.18 Typical High $190.55 | Professional | None | $38.90 | $83.18 | $190.55 |
Medica Setting Professional Modifier RR · Rental Typical Low $38.90 Median $83.18 Typical High $758.58 | Professional | RR · Rental | $38.90 | $83.18 | $758.58 |
Midlands Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None | $229.09 | $229.09 | $229.09 |
Midlands Setting Professional Modifier RR · Rental Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | RR · Rental | $190.55 | $190.55 | $194.98 |
Midlands Setting Professional Modifier RR · Rental Typical Low $151.36 Median $194.98 Typical High $194.98 | Professional | RR · Rental | $151.36 | $194.98 | $194.98 |
United Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $363.08 | Professional | None | $51.29 | $77.62 | $363.08 |
United Setting Professional Modifier RR · Rental Typical Low $35.48 Median $83.18 Typical High $109.65 | Professional | RR · Rental | $35.48 | $83.18 | $109.65 |
Wellmark Setting Professional Modifier RR · Rental Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | RR · Rental | $186.21 | $186.21 | $186.21 |
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 UE · Used equipment Typical Low $691.83 Median $891.25 Typical High $891.25 | Professional | UE · Used equipment | $691.83 | $891.25 | $891.25 |
Where South Dakota sits
The same service costs 13.2 times more in Wyoming than in Montana. 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· 38th of 51
$363
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.