How much rates vary
Facilitymedian $135 · 10th to 90th $83 to $135Professionalmedian $126 · 10th to 90th $74 to $191
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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $79.43 Typical High $93.33 | Professional | None (both parts) | $66.07 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $45.71 | Professional | 26 · Professional part | $36.31 | $36.31 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $43.65 Typical High $48.98 | Professional | TC · Technical part | $23.44 | $43.65 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $107.15 | $125.89 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $97.72 | Professional | 26 · Professional part | $60.26 | $64.57 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $64.57 Typical High $112.20 | Professional | TC · Technical part | $41.69 | $64.57 | $112.20 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $134.90 Typical High $134.90 | Facility | None | $83.18 | $134.90 | $134.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $64.57 Median $144.54 Typical High $562.34 | Professional | None (both parts) | $64.57 | $144.54 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $81.28 Typical High $234.42 | Professional | 26 · Professional part | $42.66 | $81.28 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $70.79 Typical High $288.40 | Professional | TC · Technical part | $23.99 | $70.79 | $288.40 |
Midlands Setting Professional Modifier None Typical Low $39.81 Median $125.89 Typical High $125.89 | Professional | None | $39.81 | $125.89 | $125.89 |
Midlands Setting Professional Modifier None (both parts) Typical Low $39.81 Median $61.66 Typical High $120.23 | Professional | None (both parts) | $39.81 | $61.66 | $120.23 |
Sanford Health Plan Setting Professional Modifier None Typical Low $70.79 Median $95.50 Typical High $151.36 | Professional | None | $70.79 | $95.50 | $151.36 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $91.20 | Professional | 26 · Professional part | $41.69 | $46.77 | $91.20 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $50.12 Typical High $79.43 | Professional | TC · Technical part | $23.99 | $50.12 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $123.03 Typical High $151.36 | Professional | None (both parts) | $63.10 | $123.03 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $38.02 | $69.18 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $54.95 Typical High $70.79 | Professional | TC · Technical part | $21.88 | $54.95 | $70.79 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $158.49 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $158.49 | $162.18 | $190.55 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $75.86 Typical High $89.13 | Professional | 26 · Professional part | $74.13 | $75.86 | $89.13 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $83.18 | $87.10 | $102.33 |
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 $39.81 Median $39.81 Typical High $43.65 | Professional | 52 · Reduced service | $39.81 | $39.81 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $17.38 | Professional | 53 · Discontinued | $15.85 | $15.85 | $17.38 |
Where South Dakota sits
The same service costs 3.4 times more in Alaska 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· 8th of 51
$126
AK $182NY $53.70
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.