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 $61.66 Median $61.66 Typical High $64.57 | Facility | None | $61.66 | $61.66 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $54.95 Typical High $63.10 | Professional | None | $51.29 | $54.95 | $63.10 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $87.10 Typical High $102.33 | Professional | None | $64.57 | $87.10 | $102.33 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $87.10 Typical High $93.33 | Facility | None | $51.29 | $87.10 | $93.33 |
Medica Setting Professional Modifier None Typical Low $63.10 Median $114.82 Typical High $407.38 | Professional | None | $63.10 | $114.82 | $407.38 |
Midlands Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $102.33 | Professional | None | $97.72 | $97.72 | $102.33 |
Midlands Setting Professional Modifier None Typical Low $66.07 Median $70.79 Typical High $81.28 | Professional | None | $66.07 | $70.79 | $81.28 |
Sanford Health Plan Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $123.03 | Professional | None | $69.18 | $85.11 | $123.03 |
United Setting Professional Modifier None Typical Low $53.70 Median $93.33 Typical High $125.89 | Professional | None | $53.70 | $93.33 | $125.89 |
Wellmark Setting Professional Modifier None Typical Low $79.43 Median $95.50 Typical High $123.03 | Professional | None | $79.43 | $95.50 | $123.03 |
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 $25.70 Median $27.54 Typical High $30.20 | Professional | 52 · Reduced service | $25.70 | $27.54 | $30.20 |
Where South Dakota sits
The same service costs 2.8 times more in Alaska than in Alabama. 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· 7th of 51
$95.50
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.