How much rates vary
Facilitymedian $68 · 10th to 90th $51 to $89Professionalmedian $76 · 10th to 90th $44 to $93
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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $39.81 Typical High $47.86 | Professional | None (both parts) | $38.90 | $39.81 | $47.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $14.13 Typical High $16.60 | Professional | 26 · Professional part | $13.80 | $14.13 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.70 Typical High $30.20 | Professional | TC · Technical part | $25.12 | $25.70 | $30.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $75.86 Typical High $104.71 | Professional | None (both parts) | $61.66 | $75.86 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $22.91 | $28.84 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $67.61 | Professional | TC · Technical part | $38.90 | $45.71 | $67.61 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $67.61 Typical High $89.13 | Facility | None | $56.23 | $67.61 | $89.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.02 Median $79.43 Typical High $346.74 | Professional | None (both parts) | $38.02 | $79.43 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $30.90 Typical High $89.13 | Professional | 26 · Professional part | $14.79 | $30.90 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $51.29 Typical High $199.53 | Professional | TC · Technical part | $23.99 | $51.29 | $199.53 |
Midlands Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $91.20 | Professional | None | $75.86 | $75.86 | $91.20 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $33.88 | Professional | 26 · Professional part | $29.51 | $29.51 | $33.88 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | TC · Technical part | $45.71 | $45.71 | $57.54 |
Midlands Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $79.43 | Professional | None (both parts) | $43.65 | $43.65 | $79.43 |
Sanford Health Plan Setting Professional Modifier None Typical Low $43.65 Median $48.98 Typical High $75.86 | Professional | None | $43.65 | $48.98 | $75.86 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.20 Typical High $26.92 | Professional | 26 · Professional part | $16.60 | $18.20 | $26.92 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $48.98 | Professional | TC · Technical part | $27.54 | $30.20 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $70.79 Typical High $83.18 | Professional | None (both parts) | $34.67 | $70.79 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $26.92 Typical High $31.62 | Professional | 26 · Professional part | $13.18 | $26.92 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $43.65 Typical High $51.29 | Professional | TC · Technical part | $21.38 | $43.65 | $51.29 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $77.62 Median $79.43 Typical High $93.33 | Professional | None (both parts) | $77.62 | $79.43 | $93.33 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $32.36 | Professional | 26 · Professional part | $26.30 | $27.54 | $32.36 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $52.48 Typical High $61.66 | Professional | TC · Technical part | $51.29 | $52.48 | $61.66 |
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 2.7 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
$75.86
MN $83.18UT $30.90
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.