How much rates vary
Facilitymedian $148 · 10th to 90th $148 to $309Professionalmedian $282 · 10th to 90th $87 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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $186.21 | Professional | None (both parts) | $87.10 | $87.10 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $26.92 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $63.10 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $309.03 | Facility | None | $251.19 | $251.19 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $398.11 Typical High $501.19 | Professional | None (both parts) | $251.19 | $398.11 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $40.74 | $79.43 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $316.23 | $416.87 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $147.91 Typical High $269.15 | Facility | None | $131.83 | $147.91 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $57.54 Median $102.33 Typical High $933.25 | Professional | None (both parts) | $57.54 | $102.33 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $85.11 Typical High $371.54 | Professional | 26 · Professional part | $46.77 | $85.11 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $831.76 Typical High $831.76 | Professional | TC · Technical part | $117.49 | $831.76 | $831.76 |
Midlands Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None | $416.87 | $416.87 | $416.87 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $58.88 | $104.71 | $104.71 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $316.23 | $316.23 | $316.23 |
Midlands Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Sanford Health Plan Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $69.18 | Professional | 26 · Professional part | $38.90 | $53.70 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $95.50 Typical High $223.87 | Professional | None (both parts) | $57.54 | $95.50 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $31.62 | $69.18 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $309.03 | Professional | TC · Technical part | $117.49 | $165.96 | $309.03 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $245.47 | $281.84 | $281.84 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $56.23 | Professional | 26 · Professional part | $48.98 | $56.23 | $56.23 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $194.98 | $223.87 | $223.87 |
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 $43.65 Median $43.65 Typical High $50.12 | Professional | 52 · Reduced service | $43.65 | $43.65 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $19.95 | Professional | 53 · Discontinued | $17.38 | $17.38 | $19.95 |
Where South Dakota sits
The same service costs 4.2 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· 3rd of 51
$269
NE $380FL $91.20
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.