How much rates vary
Facilitymedian $65 · 10th to 90th $55 to $132Professionalmedian $62 · 10th to 90th $35 to $102
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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $42.66 | Professional | None (both parts) | $33.88 | $38.02 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $66.07 Typical High $100.00 | Professional | None (both parts) | $21.88 | $66.07 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $15.14 Typical High $26.30 | Professional | 26 · Professional part | $7.94 | $15.14 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $25.70 Typical High $43.65 | Professional | TC · Technical part | $13.80 | $25.70 | $43.65 |
Medica Setting Facility Modifier None Typical Low $54.95 Median $64.57 Typical High $131.83 | Facility | None | $54.95 | $64.57 | $131.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $630.96 | Professional | None (both parts) | $53.70 | $63.10 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.59 Typical High $331.13 | Professional | 26 · Professional part | $10.72 | $12.59 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $46.77 Typical High $537.03 | Professional | TC · Technical part | $42.66 | $46.77 | $537.03 |
Midlands 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 None Typical Low $50.12 Median $93.33 Typical High $102.33 | Professional | None | $50.12 | $93.33 | $102.33 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $20.89 Typical High $21.88 | Professional | 26 · Professional part | $14.79 | $20.89 | $21.88 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $81.28 | Professional | TC · Technical part | $52.48 | $81.28 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $33.11 | $51.29 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.79 Typical High $25.12 | Professional | 26 · Professional part | $10.96 | $14.79 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $43.65 Typical High $100.00 | Professional | TC · Technical part | $40.74 | $43.65 | $100.00 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $58.88 Median $61.66 Typical High $72.44 | Professional | None (both parts) | $58.88 | $61.66 | $72.44 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $29.51 | Professional | 26 · Professional part | $24.55 | $25.12 | $29.51 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $35.48 Typical High $41.69 | Professional | TC · Technical part | $34.67 | $35.48 | $41.69 |
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 $16.98 Median $19.05 Typical High $20.89 | Professional | 52 · Reduced service | $16.98 | $19.05 | $20.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.59 Typical High $8.51 | Professional | 53 · Discontinued | $6.92 | $7.59 | $8.51 |
Where South Dakota sits
The same service costs 3.3 times more in Alaska than in Ohio. 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· 10th of 51
$61.66
AK $110OH $33.11
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.