How much rates vary
Facilitymedian $98 · 10th to 90th $98 to $309Professionalmedian $316 · 10th to 90th $148 to $490
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $102.33 | Professional | None (both parts) | $57.54 | $57.54 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $35.48 | Professional | 26 · Professional part | $20.42 | $20.42 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $67.61 | Professional | TC · Technical part | $38.02 | $38.02 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $309.03 | Facility | None | $245.47 | $245.47 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $245.47 | $389.05 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $66.07 Typical High $83.18 | Professional | 26 · Professional part | $34.67 | $66.07 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $309.03 | $416.87 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $97.72 Typical High $194.98 | Facility | None | $87.10 | $97.72 | $194.98 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $323.59 Typical High $891.25 | Professional | None (both parts) | $165.96 | $323.59 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $66.07 Typical High $346.74 | Professional | 26 · Professional part | $36.31 | $66.07 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $257.04 Typical High $812.83 | Professional | TC · Technical part | $134.90 | $257.04 | $812.83 |
Midlands Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | None | $389.05 | $389.05 | $389.05 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $50.12 | $83.18 | $83.18 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
Midlands Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Sanford Health Plan Setting Professional Modifier None Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None | $181.97 | $181.97 | $181.97 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $43.65 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $263.03 Typical High $346.74 | Professional | None (both parts) | $162.18 | $263.03 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $27.54 | $56.23 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $208.93 Typical High $275.42 | Professional | TC · Technical part | $131.83 | $208.93 | $275.42 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $194.98 | $223.87 | $223.87 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $48.98 Typical High $48.98 | Professional | 26 · Professional part | $42.66 | $48.98 | $48.98 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $173.78 Typical High $173.78 | Professional | TC · Technical part | $151.36 | $173.78 | $173.78 |
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 $28.84 Median $28.84 Typical High $33.11 | Professional | 52 · Reduced service | $28.84 | $28.84 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $13.18 | Professional | 53 · Discontinued | $11.75 | $11.75 | $13.18 |
Where South Dakota sits
The same service costs 6.6 times more in Nebraska than in Florida. 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
$309
NE $363FL $54.95
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.