How much rates vary
Facilitymedian $29 · 10th to 90th $20 to $32Professionalmedian $26 · 10th to 90th $20 to $41
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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.49 Median $17.38 Typical High $18.62 | Professional | None (both parts) | $15.49 | $17.38 | $18.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.76 Typical High $7.76 | Professional | 26 · Professional part | $6.03 | $7.76 | $7.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $9.33 Typical High $10.23 | Professional | TC · Technical part | $9.33 | $9.33 | $10.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.20 Typical High $30.90 | Professional | None (both parts) | $24.55 | $30.20 | $30.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.02 Typical High $14.13 | Professional | 26 · Professional part | $8.91 | $12.02 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $16.98 Typical High $19.05 | Professional | TC · Technical part | $15.49 | $16.98 | $19.05 |
Medica Setting Facility Modifier None Typical Low $20.42 Median $28.84 Typical High $32.36 | Facility | None | $20.42 | $28.84 | $32.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $20.89 Median $38.90 Typical High $114.82 | Professional | None (both parts) | $20.89 | $38.90 | $114.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $17.78 Typical High $114.82 | Professional | 26 · Professional part | $8.32 | $17.78 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $21.38 Typical High $70.79 | Professional | TC · Technical part | $12.88 | $21.38 | $70.79 |
Midlands Setting Professional Modifier None Typical Low $28.84 Median $30.90 Typical High $30.90 | Professional | None | $28.84 | $30.90 | $30.90 |
Midlands Setting Professional Modifier None (both parts) Typical Low $22.91 Median $22.91 Typical High $38.02 | Professional | None (both parts) | $22.91 | $22.91 | $38.02 |
Sanford Health Plan Setting Professional Modifier None Typical Low $19.95 Median $25.12 Typical High $40.74 | Professional | None | $19.95 | $25.12 | $40.74 |
Sanford Health Plan Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $15.49 | Professional | 26 · Professional part | $9.55 | $10.72 | $15.49 |
Sanford Health Plan Setting Professional Modifier TC · Technical part Typical Low $11.48 Median $14.13 Typical High $25.12 | Professional | TC · Technical part | $11.48 | $14.13 | $25.12 |
United Setting Professional Modifier None (both parts) Typical Low $18.20 Median $33.88 Typical High $42.66 | Professional | None (both parts) | $18.20 | $33.88 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $15.14 Typical High $18.20 | Professional | 26 · Professional part | $7.94 | $15.14 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $18.62 Typical High $23.99 | Professional | TC · Technical part | $10.00 | $18.62 | $23.99 |
Wellmark Setting Professional Modifier None (both parts) Typical Low $22.39 Median $23.44 Typical High $26.92 | Professional | None (both parts) | $22.39 | $23.44 | $26.92 |
Wellmark Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $9.77 Typical High $11.48 | Professional | 26 · Professional part | $9.33 | $9.77 | $11.48 |
Wellmark Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $13.49 Typical High $15.85 | Professional | TC · Technical part | $12.88 | $13.49 | $15.85 |
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 $7.76 Median $8.71 Typical High $9.33 | Professional | 52 · Reduced service | $7.76 | $8.71 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.47 Typical High $3.72 | Professional | 53 · Discontinued | $3.09 | $3.47 | $3.72 |
Where South Dakota sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 15th of 51
$26.30
WI $39.81NC $17.38
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.