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 $16.98 Median $27.54 Typical High $69.18 | Facility | None | $16.98 | $27.54 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $22.39 | Professional | None | $16.22 | $16.22 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $31.62 Typical High $31.62 | Professional | None | $25.12 | $31.62 | $31.62 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $123.03 | Facility | None | $22.91 | $27.54 | $123.03 |
Medica Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $28.84 | Professional | None | $14.45 | $21.88 | $28.84 |
Sanford Health Plan Setting Professional Modifier None Typical Low $36.31 Median $56.23 Typical High $66.07 | Professional | None | $36.31 | $56.23 | $66.07 |
United Setting Professional Modifier None Typical Low $10.00 Median $15.49 Typical High $28.84 | Professional | None | $10.00 | $15.49 | $28.84 |
Wellmark Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
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 $44.67 Median $44.67 Typical High $44.67 | Professional | QW · Waived lab test | $44.67 | $44.67 | $44.67 |
Where South Dakota sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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· 18th of 51
$25.12
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.