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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $354.81 Typical High $501.19 | Professional | None | $331.13 | $354.81 | $501.19 |
Cigna Setting Facility Modifier RR · Rental Typical Low $30.90 Median $30.90 Typical High $56.23 | Facility | RR · Rental | $30.90 | $30.90 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $691.83 | Professional | None | $562.34 | $562.34 | $691.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $56.23 Median $57.54 Typical High $67.61 | Professional | RR · Rental | $56.23 | $57.54 | $67.61 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $602.56 Typical High $977.24 | Facility | None | $30.20 | $602.56 | $977.24 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $23.99 Typical High $57.54 | Professional | None | $19.50 | $23.99 | $57.54 |
Medica Setting Professional Modifier RR · Rental Typical Low $19.50 Median $25.70 Typical High $245.47 | Professional | RR · Rental | $19.50 | $25.70 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Midlands Setting Professional Modifier RR · Rental Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $56.23 | $57.54 | $57.54 |
Midlands Setting Professional Modifier RR · Rental Typical Low $32.36 Median $32.36 Typical High $48.98 | Professional | RR · Rental | $32.36 | $32.36 | $48.98 |
United Setting Professional Modifier None Typical Low $17.78 Median $23.99 Typical High $34.67 | Professional | None | $17.78 | $23.99 | $34.67 |
United Setting Professional Modifier RR · Rental Typical Low $19.50 Median $20.89 Typical High $37.15 | Professional | RR · Rental | $19.50 | $20.89 | $37.15 |
Wellmark Setting Professional Modifier RR · Rental Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | RR · Rental | $54.95 | $54.95 | $54.95 |
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 $263.03 Median $269.15 Typical High $380.19 | Professional | UE · Used equipment | $263.03 | $269.15 | $380.19 |
Where South Dakota sits
The same service costs 29.5 times more in Wyoming than in Oklahoma. 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· 30th of 51
$57.54
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.