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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None Typical Low $354.81 Median $354.81 Typical High $501.19 | Professional | None | $354.81 | $354.81 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $562.34 Median $562.34 Typical High $691.83 | Professional | None | $562.34 | $562.34 | $691.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $56.23 Median $57.54 Typical High $67.61 | Professional | RR · Rental | $56.23 | $57.54 | $67.61 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $602.56 Typical High $977.24 | Facility | None | $48.98 | $602.56 | $977.24 |
Medica Setting Professional Modifier None Typical Low $20.89 Median $32.36 Typical High $1,288.25 | Professional | None | $20.89 | $32.36 | $1,288.25 |
Medica Setting Professional Modifier RR · Rental Typical Low $20.89 Median $32.36 Typical High $245.47 | Professional | RR · Rental | $20.89 | $32.36 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Midlands Setting Professional Modifier RR · Rental Typical Low $56.23 Median $57.54 Typical High $57.54 | Professional | RR · Rental | $56.23 | $57.54 | $57.54 |
Midlands Setting Professional Modifier RR · Rental Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | RR · Rental | $48.98 | $48.98 | $48.98 |
United Setting Professional Modifier None Typical Low $19.50 Median $32.36 Typical High $1,288.25 | Professional | None | $19.50 | $32.36 | $1,288.25 |
United Setting Professional Modifier RR · Rental Typical Low $20.89 Median $32.36 Typical High $43.65 | Professional | RR · Rental | $20.89 | $32.36 | $43.65 |
Wellmark Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
Wellmark Setting Professional Modifier RR · Rental Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | RR · Rental | $54.95 | $54.95 | $54.95 |
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 UE · Used equipment Typical Low $269.15 Median $269.15 Typical High $380.19 | Professional | UE · Used equipment | $269.15 | $269.15 | $380.19 |
Where South Dakota sits
The same service costs 30.2 times more in Wyoming than in Hawaii. 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· 2nd of 51
$550
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.