How much rates vary
Facilitymedian $78 · 10th to 90th $40 to $1,698Professionalmedian $56 · 10th to 90th $32 to $74
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 $354.81 Median $1,698.24 Typical High $1,698.24 | Facility | None | $354.81 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $39.81 | Professional | None (both parts) | $27.54 | $27.54 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $7.94 Typical High $10.00 | Professional | 26 · Professional part | $7.94 | $7.94 | $10.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $19.50 Typical High $30.90 | Professional | TC · Technical part | $19.50 | $19.50 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $57.54 Typical High $72.44 | Professional | None (both parts) | $45.71 | $57.54 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.22 Typical High $20.89 | Professional | 26 · Professional part | $12.88 | $16.22 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $42.66 Typical High $52.48 | Professional | TC · Technical part | $33.11 | $42.66 | $52.48 |
Medica Setting Facility Modifier None Typical Low $39.81 Median $46.77 Typical High $302.00 | Facility | None | $39.81 | $46.77 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $35.48 Median $72.44 Typical High $398.11 | Professional | None (both parts) | $35.48 | $72.44 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $17.78 Typical High $131.83 | Professional | 26 · Professional part | $8.32 | $17.78 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $57.54 Typical High $134.90 | Professional | TC · Technical part | $26.92 | $57.54 | $134.90 |
Midlands Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $69.18 | Professional | None | $66.07 | $66.07 | $69.18 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $19.05 | Professional | 26 · Professional part | $16.60 | $16.60 | $19.05 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | TC · Technical part | $50.12 | $50.12 | $50.12 |
Midlands Setting Professional Modifier None (both parts) Typical Low $40.74 Median $40.74 Typical High $72.44 | Professional | None (both parts) | $40.74 | $40.74 | $72.44 |
Sanford Health Plan Setting Professional Modifier None Typical Low $32.36 Median $43.65 Typical High $54.95 | Professional | None | $32.36 | $43.65 | $54.95 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.47 Typical High $18.62 | Professional | 26 · Professional part | $9.33 | $10.47 | $18.62 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $33.11 Typical High $40.74 | Professional | TC · Technical part | $21.88 | $33.11 | $40.74 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $63.10 Typical High $74.13 | Professional | None (both parts) | $30.90 | $63.10 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $15.14 Typical High $17.78 | Professional | 26 · Professional part | $7.76 | $15.14 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $23.44 | $48.98 | $57.54 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $54.95 Median $56.23 Typical High $66.07 | Professional | None (both parts) | $54.95 | $56.23 | $66.07 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.85 Typical High $18.62 | Professional | 26 · Professional part | $15.14 | $15.85 | $18.62 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $40.74 Typical High $47.86 | Professional | TC · Technical part | $38.90 | $40.74 | $47.86 |
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 $13.80 Median $13.80 Typical High $15.49 | Professional | 52 · Reduced service | $13.80 | $13.80 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $6.17 | Professional | 53 · Discontinued | $5.50 | $5.50 | $6.17 |
Where South Dakota sits
The same service costs 2.5 times more in Minnesota than in Texas. 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
$56.23
MN $67.61TX $26.92
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.