How much rates vary
Facilitymedian $138 · 10th to 90th $62 to $155Professionalmedian $138 · 10th to 90th $78 to $245
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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $100.00 | Professional | None (both parts) | $67.61 | $81.28 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 26 · Professional part | $19.50 | $19.50 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $77.62 | Professional | TC · Technical part | $47.86 | $61.66 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $117.49 | $138.04 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $30.20 | $39.81 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $169.82 | Professional | TC · Technical part | $83.18 | $97.72 | $169.82 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $138.04 Typical High $154.88 | Facility | None | $61.66 | $138.04 | $154.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $138.04 Typical High $446.68 | Professional | None (both parts) | $61.66 | $138.04 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $39.81 Typical High $323.59 | Professional | 26 · Professional part | $19.95 | $39.81 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $100.00 Typical High $346.74 | Professional | TC · Technical part | $41.69 | $100.00 | $346.74 |
Midlands Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $144.54 | Professional | None | $138.04 | $138.04 | $144.54 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $42.66 | Professional | 26 · Professional part | $39.81 | $39.81 | $42.66 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $100.00 | Professional | TC · Technical part | $97.72 | $97.72 | $100.00 |
Midlands Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $128.82 | Professional | None (both parts) | $77.62 | $77.62 | $128.82 |
Sanford Health Plan Setting Professional Modifier None Typical Low $66.07 Median $93.33 Typical High $162.18 | Professional | None | $66.07 | $93.33 | $162.18 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $24.55 | $37.15 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $70.79 Typical High $125.89 | Professional | TC · Technical part | $42.66 | $70.79 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $120.23 Typical High $147.91 | Professional | None (both parts) | $57.54 | $120.23 | $147.91 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $33.88 Typical High $39.81 | Professional | 26 · Professional part | $17.38 | $33.88 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $85.11 Typical High $104.71 | Professional | TC · Technical part | $40.74 | $85.11 | $104.71 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $257.04 | Professional | None (both parts) | $208.93 | $218.78 | $257.04 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $41.69 | $43.65 | $51.29 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $173.78 Typical High $204.17 | Professional | TC · Technical part | $165.96 | $173.78 | $204.17 |
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 $40.74 Median $40.74 Typical High $50.12 | Professional | 52 · Reduced service | $40.74 | $40.74 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $19.95 | Professional | 53 · Discontinued | $16.22 | $16.22 | $19.95 |
Where South Dakota sits
The same service costs 3.5 times more in North Dakota than in Kentucky. 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· 8th of 51
$138
ND $186KY $53.70
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.