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 $9.55 Median $18.20 Typical High $33.11 | Facility | None | $9.55 | $18.20 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $15.85 Typical High $20.89 | Professional | None | $8.91 | $15.85 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $15.14 Typical High $28.18 | Professional | None | $9.77 | $15.14 | $28.18 |
Medica Setting Facility Modifier None Typical Low $12.30 Median $17.38 Typical High $35.48 | Facility | None | $12.30 | $17.38 | $35.48 |
Medica Setting Professional Modifier None Typical Low $15.49 Median $36.31 Typical High $114.82 | Professional | None | $15.49 | $36.31 | $114.82 |
Midlands Setting Professional Modifier None Typical Low $15.14 Median $19.50 Typical High $28.18 | Professional | None | $15.14 | $19.50 | $28.18 |
Midlands Setting Professional Modifier None Typical Low $10.23 Median $19.95 Typical High $40.74 | Professional | None | $10.23 | $19.95 | $40.74 |
Sanford Health Plan Setting Professional Modifier None Typical Low $10.96 Median $21.88 Typical High $32.36 | Professional | None | $10.96 | $21.88 | $32.36 |
United Setting Professional Modifier None Typical Low $8.91 Median $19.05 Typical High $38.02 | Professional | None | $8.91 | $19.05 | $38.02 |
Wellmark Setting Professional Modifier None Typical Low $10.96 Median $21.88 Typical High $28.18 | Professional | None | $10.96 | $21.88 | $28.18 |
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 $4.90 Median $5.37 Typical High $10.47 | Professional | 52 · Reduced service | $4.90 | $5.37 | $10.47 |
Where South Dakota sits
The same service costs 2.3 times more in Alaska than in Louisiana. 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· 5th of 51
$19.95
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.