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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None | $97.72 | $97.72 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $138.04 Typical High $154.88 | Professional | None | $100.00 | $138.04 | $154.88 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $165.96 Typical High $165.96 | Facility | None | $141.25 | $165.96 | $165.96 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $199.53 Typical High $588.84 | Professional | None | $95.50 | $199.53 | $588.84 |
Midlands Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $154.88 | Professional | None | $131.83 | $154.88 | $154.88 |
Midlands Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
Sanford Health Plan Setting Professional Modifier None Typical Low $107.15 Median $120.23 Typical High $177.83 | Professional | None | $107.15 | $120.23 | $177.83 |
United Setting Professional Modifier None Typical Low $95.50 Median $169.82 Typical High $199.53 | Professional | None | $95.50 | $169.82 | $199.53 |
Wellmark Setting Professional Modifier None Typical Low $177.83 Median $181.97 Typical High $218.78 | Professional | None | $177.83 | $181.97 | $218.78 |
2 more rates 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 $48.98 Median $48.98 Typical High $48.98 | Professional | 52 · Reduced service | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.95 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.95 |
Where South Dakota sits
The same service costs 2.2 times more in Nebraska than in Texas. 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
$155
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.