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 $51.29 Median $51.29 Typical High $102.33 | Facility | None | $51.29 | $51.29 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $58.88 | Professional | None (both parts) | $51.29 | $51.29 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $58.88 Typical High $67.61 | Professional | None (both parts) | $53.70 | $58.88 | $67.61 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $87.10 Typical High $87.10 | Facility | None | $74.13 | $87.10 | $87.10 |
Medica Setting Professional Modifier None (both parts) Typical Low $26.30 Median $45.71 Typical High $257.04 | Professional | None (both parts) | $26.30 | $45.71 | $257.04 |
Sanford Health Plan Setting Professional Modifier None Typical Low $85.11 Median $120.23 Typical High $141.25 | Professional | None | $85.11 | $120.23 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $21.38 Median $45.71 Typical High $51.29 | Professional | None (both parts) | $21.38 | $45.71 | $51.29 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
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 + TC · Technical part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | QW · Waived lab test + TC · Technical part | $93.33 | $93.33 | $93.33 |
Where South Dakota sits
The same service costs 3.1 times more in Alaska than in Maine. 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· 15th of 51
$53.70
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.