How much rates vary
Facilitymedian $708 · 10th to 90th $550 to $1,259Professionalmedian $871 · 10th to 90th $372 to $1,288
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 $446.68 Median $4,365.16 Typical High $6,918.31 | Facility | None | $446.68 | $4,365.16 | $6,918.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $467.74 | Professional | None (both parts) | $416.87 | $416.87 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | 26 · Professional part | $162.18 | $162.18 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $288.40 | Professional | TC · Technical part | $257.04 | $257.04 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $851.14 Typical High $1,288.25 | Professional | None (both parts) | $741.31 | $851.14 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $288.40 Typical High $426.58 | Professional | 26 · Professional part | $263.03 | $288.40 | $426.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $562.34 Typical High $870.96 | Professional | TC · Technical part | $501.19 | $562.34 | $870.96 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $707.95 Typical High $1,148.15 | Facility | None | $602.56 | $707.95 | $1,148.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $446.68 Typical High $4,466.84 | Professional | None (both parts) | $213.80 | $446.68 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $363.08 Typical High $2,089.30 | Professional | 26 · Professional part | $186.21 | $363.08 | $2,089.30 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $302.00 Typical High $4,168.69 | Professional | TC · Technical part | $10.96 | $302.00 | $4,168.69 |
Midlands Setting Professional Modifier None Typical Low $891.25 Median $1,000.00 Typical High $1,000.00 | Professional | None | $891.25 | $1,000.00 | $1,000.00 |
Midlands Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $933.25 | Professional | None (both parts) | $501.19 | $501.19 | $933.25 |
Sanford Health Plan Setting Professional Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | None | $676.08 | $676.08 | $676.08 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $245.47 Typical High $426.58 | Professional | 26 · Professional part | $199.53 | $245.47 | $426.58 |
United Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $380.19 Typical High $758.58 | Professional | None (both parts) | $194.98 | $380.19 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $309.03 Typical High $363.08 | Professional | 26 · Professional part | $173.78 | $309.03 | $363.08 |
United Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $12.88 Typical High $489.78 | Professional | TC · Technical part | $10.96 | $12.88 | $489.78 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $870.96 Median $891.25 Typical High $1,071.52 | Professional | None (both parts) | $870.96 | $891.25 | $1,071.52 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $354.81 Typical High $416.87 | Professional | 26 · Professional part | $346.74 | $354.81 | $416.87 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $537.03 Typical High $630.96 | Professional | TC · Technical part | $524.81 | $537.03 | $630.96 |
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 $208.93 Median $208.93 Typical High $234.42 | Professional | 52 · Reduced service | $208.93 | $208.93 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $93.33 | Professional | 53 · Discontinued | $83.18 | $83.18 | $93.33 |
Where South Dakota sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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· 5th of 51
$871
WI $1,000NC $331
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.