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 Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $50.12 Typical High $50.12 | Professional | None | $28.18 | $50.12 | $50.12 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $26.92 Typical High $35.48 | Facility | None | $22.91 | $26.92 | $35.48 |
Medica Setting Professional Modifier None Typical Low $15.85 Median $50.12 Typical High $245.47 | Professional | None | $15.85 | $50.12 | $245.47 |
Midlands Setting Professional Modifier None Typical Low $36.31 Median $50.12 Typical High $50.12 | Professional | None | $36.31 | $50.12 | $50.12 |
Sanford Health Plan Setting Professional Modifier None Typical Low $37.15 Median $45.71 Typical High $52.48 | Professional | None | $37.15 | $45.71 | $52.48 |
United Setting Professional Modifier None Typical Low $14.45 Median $15.85 Typical High $64.57 | Professional | None | $14.45 | $15.85 | $64.57 |
Wellmark Setting Professional Modifier None Typical Low $42.66 Median $50.12 Typical High $50.12 | Professional | None | $42.66 | $50.12 | $50.12 |
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 Facility Modifier 53 · Discontinued Typical Low $3.63 Median $3.63 Typical High $5.37 | Facility | 53 · Discontinued | $3.63 | $3.63 | $5.37 |
Where South Dakota sits
The same service costs 5.2 times more in Texas than in New Jersey. 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
$45.71
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.