How much rates vary
Facilitymedian $380 · 10th to 90th $162 to $380Professionalmedian $316 · 10th to 90th $204 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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $275.42 | Professional | None (both parts) | $229.09 | $229.09 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $40.74 | Professional | 26 · Professional part | $35.48 | $35.48 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $257.04 | Professional | TC · Technical part | $213.80 | $213.80 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $199.53 | Facility | None | $162.18 | $162.18 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $257.04 Typical High $316.23 | Professional | None (both parts) | $162.18 | $257.04 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $95.50 Typical High $117.49 | Professional | 26 · Professional part | $60.26 | $95.50 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $158.49 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $158.49 | $199.53 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $380.19 Typical High $436.52 | Facility | None | $147.91 | $380.19 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $512.86 Typical High $1,258.93 | Professional | None (both parts) | $234.42 | $512.86 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $77.62 Typical High $575.44 | Professional | 26 · Professional part | $45.71 | $77.62 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $426.58 Typical High $794.33 | Professional | TC · Technical part | $199.53 | $426.58 | $794.33 |
Midlands Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None | $257.04 | $257.04 | $257.04 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $87.10 | $97.72 | $97.72 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $158.49 | $158.49 | $158.49 |
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 $117.49 Median $117.49 Typical High $117.49 | Professional | None | $117.49 | $117.49 | $117.49 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $57.54 | $77.62 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $407.38 Typical High $537.03 | Professional | None (both parts) | $234.42 | $407.38 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $66.07 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $66.07 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $338.84 Typical High $446.68 | Professional | TC · Technical part | $199.53 | $338.84 | $446.68 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $489.78 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $489.78 | $562.34 | $562.34 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $77.62 | $89.13 | $89.13 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $467.74 Typical High $467.74 | Professional | TC · Technical part | $407.38 | $467.74 | $467.74 |
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 $114.82 Median $114.82 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $45.71 | $54.95 |
Where South Dakota sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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
$316
NE $407NJ $112
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.