How much rates vary
Facilitymedian $537 · 10th to 90th $282 to $537Professionalmedian $355 · 10th to 90th $224 to $617
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $125.89 | $125.89 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $213.80 | Professional | TC · Technical part | $190.55 | $190.55 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $186.21 | $426.58 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $173.78 Typical High $218.78 | Professional | 26 · Professional part | $74.13 | $173.78 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $275.42 Typical High $323.59 | Professional | TC · Technical part | $257.04 | $275.42 | $323.59 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $537.03 Typical High $537.03 | Facility | None | $416.87 | $537.03 | $537.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $588.84 Typical High $1,862.09 | Professional | None (both parts) | $309.03 | $588.84 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $234.42 Typical High $741.31 | Professional | 26 · Professional part | $117.49 | $234.42 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $354.81 Typical High $1,122.02 | Professional | TC · Technical part | $190.55 | $354.81 | $1,122.02 |
Midlands Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $549.54 | Professional | None | $380.19 | $549.54 | $549.54 |
Midlands Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $151.36 | $218.78 | $218.78 |
Midlands Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $229.09 | $323.59 | $323.59 |
Midlands Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Sanford Health Plan Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None | $147.91 | $147.91 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $501.19 Typical High $630.96 | Professional | None (both parts) | $275.42 | $501.19 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $204.17 Typical High $239.88 | Professional | 26 · Professional part | $107.15 | $204.17 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $302.00 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $302.00 | $389.05 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $223.87 Median $229.09 Typical High $275.42 | Professional | None (both parts) | $223.87 | $229.09 | $275.42 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $53.70 | Professional | 26 · Professional part | $43.65 | $45.71 | $53.70 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $186.21 Typical High $218.78 | Professional | TC · Technical part | $177.83 | $186.21 | $218.78 |
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 $158.49 Median $158.49 Typical High $158.49 | Professional | 52 · Reduced service | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 53 · Discontinued | $63.10 | $63.10 | $63.10 |
Where South Dakota sits
The same service costs 9.8 times more in Alaska than in New York. 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· 14th of 51
$372
AK $631NY $64.57
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.