How much rates vary
Facilitymedian $174 · 10th to 90th $155 to $282Professionalmedian $347 · 10th to 90th $234 to $562
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | None (both parts) | $102.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $38.90 | Professional | 26 · Professional part | $36.31 | $36.31 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $74.13 | Professional | TC · Technical part | $66.07 | $66.07 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $288.40 | Facility | None | $234.42 | $234.42 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $234.42 | $346.74 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $58.88 | $91.20 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $251.19 Typical High $346.74 | Professional | TC · Technical part | $177.83 | $251.19 | $346.74 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $173.78 Typical High $281.84 | Facility | None | $154.88 | $173.78 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $512.86 Typical High $1,584.89 | Professional | None (both parts) | $251.19 | $512.86 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $81.28 Typical High $794.33 | Professional | 26 · Professional part | $44.67 | $81.28 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $436.52 Typical High $1,348.96 | Professional | TC · Technical part | $234.42 | $436.52 | $1,348.96 |
Midlands Setting Professional Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None | $346.74 | $346.74 | $346.74 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $87.10 | $100.00 | $100.00 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $251.19 | $251.19 | $251.19 |
Midlands Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Sanford Health Plan Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $52.48 | $57.54 | $75.86 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $239.88 | $398.11 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $42.66 | $67.61 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $478.63 | Professional | TC · Technical part | $199.53 | $302.00 | $478.63 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $323.59 | $371.54 | $371.54 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $67.61 | $77.62 | $77.62 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $257.04 | $295.12 | $295.12 |
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 $51.29 Median $51.29 Typical High $56.23 | Professional | 52 · Reduced service | $51.29 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $22.39 | Professional | 53 · Discontinued | $20.42 | $20.42 | $22.39 |
Where South Dakota sits
The same service costs 5.2 times more in North Dakota 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· 5th of 51
$347
ND $457FL $87.10
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.