How much rates vary
Facilitymedian $112 · 10th to 90th $95 to $112Professionalmedian $126 · 10th to 90th $74 to $178
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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $79.43 | Professional | None (both parts) | $66.07 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $24.55 | Professional | 26 · Professional part | $21.38 | $21.38 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | TC · Technical part | $44.67 | $44.67 | $53.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $104.71 | $141.25 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $44.67 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $97.72 Typical High $120.23 | Professional | TC · Technical part | $70.79 | $97.72 | $120.23 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $112.20 Typical High $112.20 | Facility | None | $95.50 | $112.20 | $112.20 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $154.88 Typical High $436.52 | Professional | None (both parts) | $75.86 | $154.88 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $46.77 Typical High $141.25 | Professional | 26 · Professional part | $25.70 | $46.77 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $107.15 Typical High $295.12 | Professional | TC · Technical part | $54.95 | $107.15 | $295.12 |
Midlands Setting Professional Modifier None Typical Low $144.54 Median $169.82 Typical High $169.82 | Professional | None | $144.54 | $169.82 | $169.82 |
Sanford Health Plan Setting Professional Modifier None Typical Low $75.86 Median $95.50 Typical High $125.89 | Professional | None | $75.86 | $95.50 | $125.89 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $40.74 | Professional | 26 · Professional part | $24.55 | $30.20 | $40.74 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $85.11 | Professional | TC · Technical part | $51.29 | $64.57 | $85.11 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $70.79 | $138.04 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $42.66 Typical High $50.12 | Professional | 26 · Professional part | $21.88 | $42.66 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $95.50 Typical High $112.20 | Professional | TC · Technical part | $47.86 | $95.50 | $112.20 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $123.03 Median $125.89 Typical High $151.36 | Professional | None (both parts) | $123.03 | $125.89 | $151.36 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $47.86 | Professional | 26 · Professional part | $38.90 | $40.74 | $47.86 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $83.18 | $87.10 | $102.33 |
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 $33.11 Median $33.11 Typical High $37.15 | Professional | 52 · Reduced service | $33.11 | $33.11 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $14.79 | Professional | 53 · Discontinued | $13.18 | $13.18 | $14.79 |
Where South Dakota sits
The same service costs 4.9 times more in Nebraska 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
$126
NE $155UT $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.