How much rates vary
Facilitymedian $234 · 10th to 90th $209 to $309Professionalmedian $316 · 10th to 90th $138 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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $138.04 | $138.04 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $102.33 | Professional | 26 · Professional part | $85.11 | $85.11 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $66.07 | Professional | TC · Technical part | $53.70 | $53.70 | $66.07 |
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 $251.19 Median $389.05 Typical High $489.78 | Professional | None (both parts) | $251.19 | $389.05 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $223.87 Typical High $281.84 | Professional | 26 · Professional part | $144.54 | $223.87 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $208.93 | Professional | TC · Technical part | $107.15 | $169.82 | $208.93 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $234.42 Typical High $263.03 | Facility | None | $208.93 | $234.42 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $208.93 Typical High $1,000.00 | Professional | None (both parts) | $125.89 | $208.93 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $186.21 Typical High $616.60 | Professional | 26 · Professional part | $109.65 | $186.21 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $63.10 Typical High $776.25 | Professional | TC · Technical part | $7.76 | $63.10 | $776.25 |
Midlands Setting Professional Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None | $436.52 | $436.52 | $436.52 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $218.78 | $234.42 | $234.42 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
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 26 · Professional part Typical Low $125.89 Median $151.36 Typical High $194.98 | Professional | 26 · Professional part | $125.89 | $151.36 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $239.88 | Professional | None (both parts) | $125.89 | $194.98 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $154.88 Typical High $199.53 | Professional | 26 · Professional part | $104.71 | $154.88 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $8.32 Typical High $109.65 | Professional | TC · Technical part | $7.59 | $8.32 | $109.65 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $302.00 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $302.00 | $346.74 | $346.74 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $213.80 Typical High $213.80 | Professional | 26 · Professional part | $186.21 | $213.80 | $213.80 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $112.20 | $128.82 | $128.82 |
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 $69.18 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $69.18 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $27.54 | $27.54 | $31.62 |
Where South Dakota sits
The same service costs 4.2 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
$316
AK $501FL $120
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.