How much rates vary
Facilitymedian $324 · 10th to 90th $115 to $389Professionalmedian $479 · 10th to 90th $234 to $617
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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $229.09 | $229.09 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $104.71 | Professional | 26 · Professional part | $87.10 | $87.10 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $138.04 | $141.25 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $154.88 Typical High $489.78 | Facility | None | $114.82 | $154.88 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $524.81 Typical High $776.25 | Professional | None (both parts) | $398.11 | $524.81 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $234.42 Typical High $295.12 | Professional | 26 · Professional part | $151.36 | $234.42 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $309.03 Typical High $489.78 | Professional | TC · Technical part | $251.19 | $309.03 | $489.78 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $389.05 Typical High $389.05 | Facility | None | $309.03 | $389.05 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $446.68 Typical High $1,698.24 | Professional | None (both parts) | $229.09 | $446.68 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $190.55 Typical High $630.96 | Professional | 26 · Professional part | $107.15 | $190.55 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $223.87 Typical High $1,047.13 | Professional | TC · Technical part | $117.49 | $223.87 | $1,047.13 |
Midlands Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $575.44 | Professional | None | $524.81 | $524.81 | $575.44 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $218.78 | $239.88 | $239.88 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $346.74 | Professional | TC · Technical part | $288.40 | $288.40 | $346.74 |
Midlands Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $177.83 | Facility | None | $114.82 | $141.25 | $177.83 |
Midlands Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Sanford Health Plan Setting Professional Modifier None Typical Low $239.88 Median $346.74 Typical High $501.19 | Professional | None | $239.88 | $346.74 | $501.19 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $144.54 Typical High $194.98 | Professional | 26 · Professional part | $125.89 | $144.54 | $194.98 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $199.53 Typical High $309.03 | Professional | TC · Technical part | $112.20 | $199.53 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $213.80 | $346.74 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $162.18 Typical High $204.17 | Professional | 26 · Professional part | $100.00 | $162.18 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $186.21 Typical High $269.15 | Professional | TC · Technical part | $117.49 | $186.21 | $269.15 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $489.78 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $489.78 | $562.34 | $562.34 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $181.97 | $208.93 | $208.93 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $309.03 | $354.81 | $354.81 |
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 $114.82 Median $114.82 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $53.70 | Professional | 53 · Discontinued | $45.71 | $45.71 | $53.70 |
Where South Dakota sits
The same service costs 5.4 times more in Alaska 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· 7th of 51
$468
AK $741TX $138
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.