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 $23.44 Median $23.99 Typical High $26.92 | Facility | None | $23.44 | $23.99 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $26.30 Typical High $26.92 | Professional | None | $23.99 | $26.30 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $44.67 | Professional | None | $33.11 | $41.69 | $44.67 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $40.74 Typical High $45.71 | Facility | None | $30.90 | $40.74 | $45.71 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $154.88 Typical High $165.96 | Professional | None | $54.95 | $154.88 | $165.96 |
Midlands Setting Professional Modifier None Typical Low $38.02 Median $41.69 Typical High $41.69 | Professional | None | $38.02 | $41.69 | $41.69 |
Midlands Setting Professional Modifier None Typical Low $33.88 Median $36.31 Typical High $41.69 | Professional | None | $33.88 | $36.31 | $41.69 |
Sanford Health Plan Setting Professional Modifier None Typical Low $27.54 Median $32.36 Typical High $66.07 | Professional | None | $27.54 | $32.36 | $66.07 |
United Setting Professional Modifier None Typical Low $22.91 Median $46.77 Typical High $58.88 | Professional | None | $22.91 | $46.77 | $58.88 |
Wellmark Setting Professional Modifier None Typical Low $30.90 Median $39.81 Typical High $52.48 | Professional | None | $30.90 | $39.81 | $52.48 |
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 $12.02 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $12.02 | $13.49 | $13.49 |
Where South Dakota sits
The same service costs 2.8 times more in North Dakota than in New Mexico. 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· 3rd of 51
$39.81
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.