How much rates vary
Facilitymedian $93 · 10th to 90th $51 to $126Professionalmedian $87 · 10th to 90th $48 to $170
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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $54.95 Typical High $61.66 | Professional | None (both parts) | $51.29 | $54.95 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $10.23 | Professional | 26 · Professional part | $8.32 | $8.32 | $10.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $51.29 | Professional | TC · Technical part | $42.66 | $46.77 | $51.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $87.10 Typical High $114.82 | Professional | None (both parts) | $38.90 | $87.10 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $15.14 Typical High $17.78 | Professional | 26 · Professional part | $5.89 | $15.14 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $70.79 Typical High $97.72 | Professional | TC · Technical part | $33.11 | $70.79 | $97.72 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $93.33 Typical High $125.89 | Facility | None | $51.29 | $93.33 | $125.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $45.71 Median $53.70 Typical High $346.74 | Professional | None (both parts) | $45.71 | $53.70 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.51 Typical High $165.96 | Professional | 26 · Professional part | $7.94 | $8.51 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $288.40 | Professional | TC · Technical part | $38.02 | $41.69 | $288.40 |
Midlands Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $107.15 | Professional | None | $102.33 | $102.33 | $107.15 |
Sanford Health Plan Setting Professional Modifier None Typical Low $66.07 Median $91.20 Typical High $169.82 | Professional | None | $66.07 | $91.20 | $169.82 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.49 Typical High $26.92 | Professional | 26 · Professional part | $11.22 | $15.49 | $26.92 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $141.25 | Professional | TC · Technical part | $54.95 | $75.86 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $77.62 | Professional | None (both parts) | $45.71 | $51.29 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.51 Typical High $14.13 | Professional | 26 · Professional part | $7.24 | $8.51 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $43.65 Typical High $64.57 | Professional | TC · Technical part | $38.02 | $43.65 | $64.57 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $97.72 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $97.72 | $102.33 | $120.23 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.85 Typical High $18.62 | Professional | 26 · Professional part | $15.49 | $15.85 | $18.62 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $100.00 | Professional | TC · Technical part | $83.18 | $85.11 | $100.00 |
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 $25.70 Median $27.54 Typical High $30.90 | Professional | 52 · Reduced service | $25.70 | $27.54 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.96 Typical High $12.59 | Professional | 53 · Discontinued | $10.23 | $10.96 | $12.59 |
Where South Dakota sits
The same service costs 3.5 times more in Alaska 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· 2nd of 51
$87.10
AK $135NJ $38.90
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.