How much rates vary
Facilitymedian $2,239 · 10th to 90th $372 to $3,981Professionalmedian $661 · 10th to 90th $372 to $1,380
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 $371.54 Median $2,511.89 Typical High $4,168.69 | Facility | None | $371.54 | $2,511.89 | $4,168.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $524.81 Typical High $1,047.13 | Professional | None (both parts) | $331.13 | $524.81 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $147.91 Typical High $302.00 | Professional | 26 · Professional part | $107.15 | $147.91 | $302.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $346.74 Typical High $724.44 | Professional | TC · Technical part | $223.87 | $346.74 | $724.44 |
BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $2,238.72 Typical High $3,162.28 | Facility | None | $1,862.09 | $2,238.72 | $3,162.28 |
BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $724.44 Typical High $851.14 | Professional | None (both parts) | $562.34 | $724.44 | $851.14 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $239.88 Typical High $281.84 | Professional | 26 · Professional part | $186.21 | $239.88 | $281.84 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $478.63 Typical High $562.34 | Professional | TC · Technical part | $371.54 | $478.63 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $616.60 Typical High $1,202.26 | Professional | None (both parts) | $371.54 | $616.60 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $162.18 Typical High $275.42 | Professional | 26 · Professional part | $107.15 | $162.18 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $416.87 Typical High $1,071.52 | Professional | TC · Technical part | $245.47 | $416.87 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,995.26 Typical High $3,090.30 | Facility | None | $371.54 | $1,995.26 | $3,090.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $758.58 Typical High $6,165.95 | Professional | None (both parts) | $371.54 | $758.58 | $6,165.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $229.09 Typical High $912.01 | Professional | 26 · Professional part | $138.04 | $229.09 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $524.81 Typical High $5,495.41 | Professional | TC · Technical part | $288.40 | $524.81 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $645.65 Typical High $1,000.00 | Professional | None (both parts) | $371.54 | $645.65 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $194.98 Typical High $275.42 | Professional | 26 · Professional part | $114.82 | $194.98 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $446.68 Typical High $794.33 | Professional | TC · Technical part | $251.19 | $446.68 | $794.33 |
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 $165.96 Median $186.21 Typical High $302.00 | Professional | 52 · Reduced service | $165.96 | $186.21 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $74.13 Typical High $120.23 | Professional | 53 · Discontinued | $66.07 | $74.13 | $120.23 |
BCBS Setting Professional Modifier 22 · Increased work Typical Low $676.08 Median $870.96 Typical High $1,023.29 | Professional | 22 · Increased work | $676.08 | $870.96 | $1,023.29 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $144.54 Typical High $169.82 | Professional | 55 · Aftercare only | $112.20 | $144.54 | $169.82 |
Where North Dakota sits
The same service costs 6.6 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· 8th of 51
$724
VT $1,349UT $204
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.