How much rates vary
Facilitymedian $110 · 10th to 90th $65 to $151Professionalmedian $105 · 10th to 90th $56 to $148
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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $64.57 Typical High $72.44 | Professional | None (both parts) | $61.66 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $37.15 Typical High $40.74 | Professional | 26 · Professional part | $36.31 | $37.15 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $28.18 Typical High $30.90 | Professional | TC · Technical part | $25.70 | $28.18 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $56.23 | $107.15 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $64.57 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $64.57 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $41.69 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $41.69 | $60.26 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $151.36 | Facility | None | $81.28 | $109.65 | $151.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $54.95 Median $66.07 Typical High $398.11 | Professional | None (both parts) | $54.95 | $66.07 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $346.74 | Professional | 26 · Professional part | $33.11 | $38.90 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $165.96 | Professional | TC · Technical part | $21.88 | $25.70 | $165.96 |
Midlands Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | None | $125.89 | $125.89 | $125.89 |
Sanford Health Plan Setting Professional Modifier None Typical Low $74.13 Median $104.71 Typical High $199.53 | Professional | None | $74.13 | $104.71 | $199.53 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $63.10 | $112.20 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $85.11 | Professional | TC · Technical part | $31.62 | $42.66 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $60.26 Typical High $89.13 | Professional | None (both parts) | $54.95 | $60.26 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $53.70 | Professional | 26 · Professional part | $32.36 | $34.67 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.70 Typical High $36.31 | Professional | TC · Technical part | $21.88 | $25.70 | $36.31 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $91.20 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $91.20 | $117.49 | $117.49 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $51.29 | $66.07 | $66.07 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $39.81 | $51.29 | $51.29 |
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 $30.90 Median $32.36 Typical High $35.48 | Professional | 52 · Reduced service | $30.90 | $32.36 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.88 Typical High $14.45 | Professional | 53 · Discontinued | $12.30 | $12.88 | $14.45 |
Where South Dakota sits
The same service costs 3.7 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· 3rd of 51
$105
AK $170FL $45.71
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.