How much rates vary
Facilitymedian $148 · 10th to 90th $135 to $251Professionalmedian $234 · 10th to 90th $54 to $407
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $89.13 | $89.13 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $27.54 | Professional | 26 · Professional part | $22.39 | $22.39 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | TC · Technical part | $66.07 | $66.07 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $263.03 | Facility | None | $213.80 | $213.80 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $302.00 Typical High $416.87 | Professional | None (both parts) | $213.80 | $302.00 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $37.15 | $58.88 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $239.88 Typical High $346.74 | Professional | TC · Technical part | $177.83 | $239.88 | $346.74 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $147.91 Typical High $239.88 | Facility | None | $134.90 | $147.91 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $34.67 Median $61.66 Typical High $724.44 | Professional | None (both parts) | $34.67 | $61.66 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $50.12 Typical High $199.53 | Professional | 26 · Professional part | $27.54 | $50.12 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $97.72 | $588.84 | $588.84 |
Midlands Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None | $302.00 | $302.00 | $302.00 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $54.95 | $63.10 | $63.10 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | TC · Technical part | $239.88 | $239.88 | $239.88 |
Midlands Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Sanford Health Plan Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $36.31 Typical High $48.98 | Professional | 26 · Professional part | $33.11 | $36.31 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $57.54 Typical High $173.78 | Professional | None (both parts) | $34.67 | $57.54 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $53.70 | Professional | 26 · Professional part | $26.30 | $41.69 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $134.90 Typical High $257.04 | Professional | TC · Technical part | $97.72 | $134.90 | $257.04 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $208.93 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $208.93 | $239.88 | $239.88 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $43.65 | $50.12 | $50.12 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $165.96 | $190.55 | $190.55 |
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 $51.29 | Professional | 52 · Reduced service | $43.65 | $43.65 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $20.42 | Professional | 53 · Discontinued | $17.78 | $17.78 | $20.42 |
Where South Dakota sits
The same service costs 4.0 times more in Alaska 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· 4th of 51
$224
AK $302FL $75.86
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.