How much rates vary
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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $50.12 | Professional | None (both parts) | $30.20 | $30.20 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $24.55 | Professional | 26 · Professional part | $14.79 | $14.79 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $26.30 | Professional | TC · Technical part | $15.14 | $15.14 | $26.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $61.66 Typical High $75.86 | Professional | None (both parts) | $60.26 | $61.66 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $26.30 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $26.30 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $42.66 | Professional | TC · Technical part | $34.67 | $34.67 | $42.66 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $89.13 | Facility | None | $30.20 | $30.20 | $89.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $43.65 Median $85.11 Typical High $389.05 | Professional | None (both parts) | $43.65 | $85.11 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $41.69 Typical High $194.98 | Professional | 26 · Professional part | $21.38 | $41.69 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $42.66 Typical High $194.98 | Professional | TC · Technical part | $22.39 | $42.66 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $77.62 Typical High $89.13 | Professional | None (both parts) | $43.65 | $77.62 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $38.02 Typical High $43.65 | Professional | 26 · Professional part | $21.38 | $38.02 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $39.81 Typical High $45.71 | Professional | TC · Technical part | $22.39 | $39.81 | $45.71 |
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 $14.79 Median $14.79 Typical High $25.12 | Professional | 52 · Reduced service | $14.79 | $14.79 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $10.00 | Professional | 53 · Discontinued | $6.03 | $6.03 | $10.00 |
Where North Dakota sits
The same service costs 4.2 times more in Nebraska than in Arkansas. 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.
North Dakota· 15th of 51
$60.26
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.