How much rates vary
Facilitymedian $977 · 10th to 90th $81 to $1,950Professionalmedian $219 · 10th to 90th $117 to $427
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $81.28 Median $1,348.96 Typical High $2,187.76 | Facility | None | $81.28 | $1,348.96 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $177.83 Typical High $331.13 | Professional | None (both parts) | $81.28 | $177.83 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $102.33 | Professional | 26 · Professional part | $30.20 | $42.66 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $120.23 Typical High $229.09 | Professional | TC · Technical part | $51.29 | $120.23 | $229.09 |
BCBS North Dakota Setting Facility Modifier None Typical Low $426.58 Median $676.08 Typical High $851.14 | Facility | None | $426.58 | $676.08 | $851.14 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $281.84 | Professional | None (both parts) | $186.21 | $239.88 | $281.84 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $89.13 | $104.71 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $177.83 | Professional | TC · Technical part | $117.49 | $151.36 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $208.93 Typical High $354.81 | Professional | None (both parts) | $125.89 | $208.93 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $39.81 | $60.26 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $75.86 | $131.83 | $218.78 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $1,122.02 Typical High $1,479.11 | Facility | None | $81.28 | $1,122.02 | $1,479.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $234.42 Typical High $1,258.93 | Professional | None (both parts) | $117.49 | $234.42 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $89.13 Typical High $316.23 | Professional | 26 · Professional part | $51.29 | $89.13 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $147.91 Typical High $1,096.48 | Professional | TC · Technical part | $81.28 | $147.91 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $117.49 | $199.53 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $41.69 | $72.44 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $128.82 Typical High $190.55 | Professional | TC · Technical part | $74.13 | $128.82 | $190.55 |
4 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 $51.29 Typical High $107.15 | Professional | 52 · Reduced service | $40.74 | $51.29 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $20.89 Typical High $43.65 | Professional | 53 · Discontinued | $16.22 | $20.89 | $43.65 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $223.87 Median $288.40 Typical High $338.84 | Professional | 22 · Increased work | $223.87 | $288.40 | $338.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $48.98 Typical High $57.54 | Professional | 55 · Aftercare only | $37.15 | $48.98 | $57.54 |
Where North Dakota sits
The same service costs 20.4 times more in Vermont 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.
North Dakota· 10th of 51
$240
VT $1,585UT $77.62
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.