How much rates vary
Facilitymedian $30 · 10th to 90th $24 to $72Professionalmedian $28 · 10th to 90th $15 to $47
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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $17.78 Typical High $19.95 | Professional | None (both parts) | $16.98 | $17.78 | $19.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.13 Typical High $15.85 | Professional | 26 · Professional part | $13.80 | $14.13 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.31 Median $3.55 Typical High $4.07 | Professional | TC · Technical part | $3.31 | $3.55 | $4.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $28.18 Typical High $37.15 | Professional | None (both parts) | $15.49 | $28.18 | $37.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $24.55 Typical High $30.20 | Professional | 26 · Professional part | $12.30 | $24.55 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.95 Median $4.17 Typical High $7.24 | Professional | TC · Technical part | $2.95 | $4.17 | $7.24 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $30.20 Typical High $72.44 | Facility | None | $25.12 | $30.20 | $72.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $14.13 Median $16.98 Typical High $269.15 | Professional | None (both parts) | $14.13 | $16.98 | $269.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.45 Typical High $89.13 | Professional | 26 · Professional part | $12.30 | $14.45 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1.95 Median $2.75 Typical High $213.80 | Professional | TC · Technical part | $1.95 | $2.75 | $213.80 |
Midlands Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | None | $33.11 | $33.11 | $33.88 |
Sanford Health Plan Setting Professional Modifier None Typical Low $20.89 Median $27.54 Typical High $56.23 | Professional | None | $20.89 | $27.54 | $56.23 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.44 Typical High $44.67 | Professional | 26 · Professional part | $16.60 | $23.44 | $44.67 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $4.57 Typical High $11.48 | Professional | TC · Technical part | $3.47 | $4.57 | $11.48 |
United Setting Professional Modifier None (both parts) Typical Low $14.13 Median $16.98 Typical High $33.88 | Professional | None (both parts) | $14.13 | $16.98 | $33.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $26.92 | Professional | 26 · Professional part | $12.30 | $14.13 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $2.29 Median $3.39 Typical High $5.50 | Professional | TC · Technical part | $2.29 | $3.39 | $5.50 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $25.12 | $32.36 | $32.36 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $19.95 | $25.70 | $25.70 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $5.25 Median $6.76 Typical High $6.76 | Professional | TC · Technical part | $5.25 | $6.76 | $6.76 |
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 $8.51 Median $8.91 Typical High $10.00 | Professional | 52 · Reduced service | $8.51 | $8.91 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.55 Typical High $3.98 | Professional | 53 · Discontinued | $3.39 | $3.55 | $3.98 |
Where South Dakota sits
The same service costs 2.5 times more in California than in Texas. 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· 9th of 51
$27.54
CA $40.74TX $16.22
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.