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 $12.88 Median $12.88 Typical High $20.89 | Facility | None | $12.88 | $12.88 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $18.20 | Professional | None | $12.30 | $12.30 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $23.99 | Professional | None | $19.05 | $19.05 | $23.99 |
Medica Setting Facility Modifier None Typical Low $17.38 Median $20.89 Typical High $36.31 | Facility | None | $17.38 | $20.89 | $36.31 |
Medica Setting Professional Modifier None Typical Low $6.92 Median $16.60 Typical High $20.42 | Professional | None | $6.92 | $16.60 | $20.42 |
Sanford Health Plan Setting Professional Modifier None Typical Low $26.30 Median $42.66 Typical High $50.12 | Professional | None | $26.30 | $42.66 | $50.12 |
United Setting Professional Modifier None Typical Low $6.92 Median $10.96 Typical High $19.50 | Professional | None | $6.92 | $10.96 | $19.50 |
Wellmark Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
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 |
|---|---|---|---|---|---|
Midlands Setting Professional Modifier QW · Waived lab test Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | QW · Waived lab test | $30.20 | $30.20 | $30.20 |
Where South Dakota sits
The same service costs 4.0 times more in Kansas than in Georgia. 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· 15th of 51
$19.05
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.