How much rates vary
Facilitymedian $28 · 10th to 90th $22 to $69Professionalmedian $25 · 10th to 90th $14 to $44
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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $16.60 Typical High $18.62 | Professional | None (both parts) | $15.85 | $16.60 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.18 Typical High $14.79 | Professional | 26 · Professional part | $12.59 | $13.18 | $14.79 |
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 $14.45 Median $26.92 Typical High $35.48 | Professional | None (both parts) | $14.45 | $26.92 | $35.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $22.39 Typical High $28.18 | Professional | 26 · Professional part | $11.48 | $22.39 | $28.18 |
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 $23.99 Median $28.18 Typical High $69.18 | Facility | None | $23.99 | $28.18 | $69.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $12.88 Median $15.14 Typical High $263.03 | Professional | None (both parts) | $12.88 | $15.14 | $263.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $85.11 | Professional | 26 · Professional part | $11.22 | $13.18 | $85.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1.66 Median $2.75 Typical High $208.93 | Professional | TC · Technical part | $1.66 | $2.75 | $208.93 |
Midlands Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $31.62 | Professional | None | $30.90 | $30.90 | $31.62 |
Sanford Health Plan Setting Professional Modifier None Typical Low $19.50 Median $24.55 Typical High $52.48 | Professional | None | $19.50 | $24.55 | $52.48 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.38 Typical High $41.69 | Professional | 26 · Professional part | $15.49 | $21.38 | $41.69 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $4.47 Typical High $11.48 | Professional | TC · Technical part | $3.47 | $4.47 | $11.48 |
United Setting Professional Modifier None (both parts) Typical Low $13.18 Median $16.22 Typical High $30.20 | Professional | None (both parts) | $13.18 | $16.22 | $30.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.88 Typical High $24.55 | Professional | 26 · Professional part | $11.22 | $12.88 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $1.95 Median $3.31 Typical High $5.50 | Professional | TC · Technical part | $1.95 | $3.31 | $5.50 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $23.99 | $30.90 | $30.90 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.99 Typical High $23.99 | Professional | 26 · Professional part | $18.62 | $23.99 | $23.99 |
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 $7.94 Median $8.32 Typical High $9.33 | Professional | 52 · Reduced service | $7.94 | $8.32 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.31 Typical High $3.72 | Professional | 53 · Discontinued | $3.16 | $3.31 | $3.72 |
Where South Dakota sits
The same service costs 2.6 times more in California than in New York. 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
$25.12
CA $38.02NY $14.45
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.