How much rates vary
Facilitymedian $55 · 10th to 90th $39 to $87Professionalmedian $59 · 10th to 90th $35 to $83
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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $38.02 | Professional | None (both parts) | $32.36 | $32.36 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $13.80 | Professional | 26 · Professional part | $12.59 | $12.59 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | TC · Technical part | $19.50 | $19.50 | $22.91 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $85.11 | Professional | None (both parts) | $48.98 | $57.54 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $32.36 | Professional | 26 · Professional part | $19.50 | $21.38 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $52.48 | Professional | TC · Technical part | $28.18 | $33.11 | $52.48 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $54.95 Typical High $87.10 | Facility | None | $45.71 | $54.95 | $87.10 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $63.10 Typical High $363.08 | Professional | None (both parts) | $30.20 | $63.10 | $363.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $26.92 Typical High $223.87 | Professional | 26 · Professional part | $13.18 | $26.92 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $36.31 Typical High $281.84 | Professional | TC · Technical part | $19.95 | $36.31 | $281.84 |
Midlands Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | None | $58.88 | $58.88 | $61.66 |
Midlands Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $61.66 | $61.66 | $61.66 |
Sanford Health Plan Setting Professional Modifier None Typical Low $36.31 Median $44.67 Typical High $72.44 | Professional | None | $36.31 | $44.67 | $72.44 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.60 Typical High $29.51 | Professional | 26 · Professional part | $14.45 | $16.60 | $29.51 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.30 Typical High $44.67 | Professional | TC · Technical part | $21.38 | $26.30 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $53.70 Typical High $64.57 | Professional | None (both parts) | $28.84 | $53.70 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $22.91 Typical High $26.92 | Professional | 26 · Professional part | $12.30 | $22.91 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $31.62 Typical High $39.81 | Professional | TC · Technical part | $16.98 | $31.62 | $39.81 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $66.07 Median $69.18 Typical High $81.28 | Professional | None (both parts) | $66.07 | $69.18 | $81.28 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $24.55 | $25.70 | $30.20 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $42.66 Typical High $50.12 | Professional | TC · Technical part | $41.69 | $42.66 | $50.12 |
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 $16.22 Median $16.22 Typical High $17.78 | Professional | 52 · Reduced service | $16.22 | $16.22 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $7.08 | Professional | 53 · Discontinued | $6.46 | $6.46 | $7.08 |
Where South Dakota sits
The same service costs 2.6 times more in Minnesota than in Alabama. 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· 12th of 51
$58.88
MN $74.13AL $28.18
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.