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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $177.83 Median $208.93 Typical High $229.09 | Professional | None | $177.83 | $208.93 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Facility | None | $14.79 | $14.79 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $147.91 Median $257.04 Typical High $316.23 | Professional | None | $147.91 | $257.04 | $316.23 |
Cigna Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | RR · Rental | $33.88 | $33.88 | $37.15 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $354.81 Typical High $575.44 | Facility | None | $30.20 | $354.81 | $575.44 |
Medica Setting Professional Modifier None Typical Low $12.30 Median $19.50 Typical High $33.88 | Professional | None | $12.30 | $19.50 | $33.88 |
Medica Setting Professional Modifier RR · Rental Typical Low $12.30 Median $19.50 Typical High $134.90 | Professional | RR · Rental | $12.30 | $19.50 | $134.90 |
Midlands Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Midlands Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $34.67 | Professional | RR · Rental | $33.88 | $33.88 | $34.67 |
Midlands Setting Professional Modifier RR · Rental Typical Low $26.92 Median $32.36 Typical High $32.36 | Professional | RR · Rental | $26.92 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $11.75 Median $16.22 Typical High $81.28 | Professional | None | $11.75 | $16.22 | $81.28 |
United Setting Professional Modifier RR · Rental Typical Low $7.94 Median $19.50 Typical High $25.70 | Professional | RR · Rental | $7.94 | $19.50 | $25.70 |
Wellmark Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None | $338.84 | $338.84 | $338.84 |
Wellmark Setting Professional Modifier RR · Rental Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $33.88 | $33.88 | $33.88 |
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 $158.49 Median $158.49 Typical High $173.78 | Professional | UE · Used equipment | $158.49 | $158.49 | $173.78 |
Where South Dakota sits
The same service costs 12.3 times more in Wyoming than in Illinois. 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· 2nd of 51
$257
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.