How much rates vary
Facilitymedian $155 · 10th to 90th $60 to $1,072Professionalmedian $83 · 10th to 90th $51 to $123
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 $154.88 Median $1,071.52 Typical High $1,071.52 | Facility | None | $154.88 | $1,071.52 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $69.18 | Professional | None (both parts) | $39.81 | $39.81 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $15.49 | Professional | 26 · Professional part | $10.00 | $10.00 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $53.70 | Professional | TC · Technical part | $29.51 | $29.51 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $66.07 | $95.50 | $112.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.88 Typical High $26.30 | Professional | 26 · Professional part | $16.22 | $21.88 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $50.12 | $74.13 | $87.10 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $67.61 Typical High $257.04 | Facility | None | $56.23 | $67.61 | $257.04 |
Medica Setting Professional Modifier None (both parts) Typical Low $60.26 Median $123.03 Typical High $630.96 | Professional | None (both parts) | $60.26 | $123.03 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $26.30 Typical High $223.87 | Professional | 26 · Professional part | $14.45 | $26.30 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $97.72 Typical High $257.04 | Professional | TC · Technical part | $46.77 | $97.72 | $257.04 |
Midlands Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $112.20 | Professional | None | $107.15 | $112.20 | $112.20 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $23.99 | $25.70 | $25.70 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | TC · Technical part | $85.11 | $87.10 | $87.10 |
Midlands Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $120.23 | Professional | None (both parts) | $70.79 | $70.79 | $120.23 |
Sanford Health Plan Setting Professional Modifier None Typical Low $45.71 Median $72.44 Typical High $91.20 | Professional | None | $45.71 | $72.44 | $91.20 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.85 Typical High $25.12 | Professional | 26 · Professional part | $11.75 | $15.85 | $25.12 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $53.70 Typical High $67.61 | Professional | TC · Technical part | $33.88 | $53.70 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $107.15 Typical High $125.89 | Professional | None (both parts) | $52.48 | $107.15 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $23.44 Typical High $27.54 | Professional | 26 · Professional part | $11.22 | $23.44 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $81.28 Typical High $97.72 | Professional | TC · Technical part | $39.81 | $81.28 | $97.72 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $97.72 | Professional | None (both parts) | $79.43 | $83.18 | $97.72 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.50 Typical High $23.44 | Professional | 26 · Professional part | $19.05 | $19.50 | $23.44 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $63.10 Typical High $74.13 | Professional | TC · Technical part | $60.26 | $63.10 | $74.13 |
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 $19.95 Median $19.95 Typical High $21.88 | Professional | 52 · Reduced service | $19.95 | $19.95 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.91 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.91 |
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· 5th of 51
$83.18
MN $105UT $31.62
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.