How much rates vary
Facilitymedian $479 · 10th to 90th $389 to $776Professionalmedian $525 · 10th to 90th $324 to $676
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $309.03 | Professional | None (both parts) | $281.84 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $257.04 | Professional | 26 · Professional part | $234.42 | $234.42 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | TC · Technical part | $47.86 | $47.86 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $489.78 Typical High $741.31 | Professional | None (both parts) | $446.68 | $489.78 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $416.87 Typical High $616.60 | Professional | 26 · Professional part | $380.19 | $416.87 | $616.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $125.89 | Professional | TC · Technical part | $52.48 | $69.18 | $125.89 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $478.63 Typical High $776.25 | Facility | None | $398.11 | $478.63 | $776.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $602.56 Typical High $3,548.13 | Professional | None (both parts) | $275.42 | $602.56 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $524.81 Typical High $1,479.11 | Professional | 26 · Professional part | $263.03 | $524.81 | $1,479.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $81.28 Typical High $2,137.96 | Professional | TC · Technical part | $33.11 | $81.28 | $2,137.96 |
Midlands Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $645.65 | Professional | None | $549.54 | $549.54 | $645.65 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $489.78 Typical High $549.54 | Professional | 26 · Professional part | $489.78 | $489.78 | $549.54 |
Midlands Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $562.34 | Professional | None (both parts) | $288.40 | $288.40 | $562.34 |
Sanford Health Plan Setting Professional Modifier None Typical Low $323.59 Median $389.05 Typical High $645.65 | Professional | None | $323.59 | $389.05 | $645.65 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $331.13 Typical High $575.44 | Professional | 26 · Professional part | $269.15 | $331.13 | $575.44 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $56.23 Typical High $102.33 | Professional | TC · Technical part | $34.67 | $56.23 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $512.86 Typical High $602.56 | Professional | None (both parts) | $269.15 | $512.86 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $446.68 Typical High $524.81 | Professional | 26 · Professional part | $239.88 | $446.68 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $69.18 Typical High $89.13 | Professional | TC · Technical part | $30.90 | $69.18 | $89.13 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $549.54 Median $575.44 Typical High $676.08 | Professional | None (both parts) | $549.54 | $575.44 | $676.08 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $478.63 Typical High $562.34 | Professional | 26 · Professional part | $457.09 | $478.63 | $562.34 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $95.50 Typical High $114.82 | Professional | TC · Technical part | $93.33 | $95.50 | $114.82 |
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 $141.25 Median $141.25 Typical High $154.88 | Professional | 52 · Reduced service | $141.25 | $141.25 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $61.66 | Professional | 53 · Discontinued | $56.23 | $56.23 | $61.66 |
Where South Dakota sits
The same service costs 3.3 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· 9th of 51
$513
MN $661UT $200
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.