How much rates vary
Facilitymedian $191 · 10th to 90th $148 to $309Professionalmedian $214 · 10th to 90th $129 to $282
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $128.82 | Professional | None (both parts) | $112.20 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $60.26 | Professional | 26 · Professional part | $54.95 | $54.95 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $67.61 | Professional | TC · Technical part | $58.88 | $58.88 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $173.78 | $204.17 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $97.72 Typical High $144.54 | Professional | 26 · Professional part | $87.10 | $97.72 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $83.18 | $97.72 | $158.49 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $190.55 Typical High $309.03 | Facility | None | $162.18 | $190.55 | $309.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $229.09 Typical High $851.14 | Professional | None (both parts) | $112.20 | $229.09 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $120.23 Typical High $562.34 | Professional | 26 · Professional part | $63.10 | $120.23 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $109.65 Typical High $562.34 | Professional | TC · Technical part | $60.26 | $109.65 | $562.34 |
Midlands Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $223.87 | Professional | None | $213.80 | $213.80 | $223.87 |
Midlands Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $223.87 | Professional | None (both parts) | $123.03 | $123.03 | $223.87 |
Sanford Health Plan Setting Professional Modifier None Typical Low $131.83 Median $154.88 Typical High $257.04 | Professional | None | $131.83 | $154.88 | $257.04 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $63.10 | $77.62 | $134.90 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $64.57 | $70.79 | $123.03 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $194.98 Typical High $234.42 | Professional | None (both parts) | $107.15 | $194.98 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $102.33 Typical High $120.23 | Professional | 26 · Professional part | $56.23 | $102.33 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $93.33 Typical High $114.82 | Professional | TC · Technical part | $50.12 | $93.33 | $114.82 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $281.84 | Professional | None (both parts) | $229.09 | $239.88 | $281.84 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $112.20 Typical High $131.83 | Professional | 26 · Professional part | $107.15 | $112.20 | $131.83 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $125.89 Typical High $147.91 | Professional | TC · Technical part | $123.03 | $125.89 | $147.91 |
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 $56.23 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $56.23 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $22.91 | $25.70 |
Where South Dakota sits
The same service costs 3.8 times more in Minnesota than in Utah. 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· 8th of 51
$214
MN $269UT $70.79
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.