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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $537.03 Typical High $776.25 | Professional | None (both parts) | $478.63 | $537.03 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $144.54 | $154.88 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $478.63 Typical High $707.95 | Professional | TC · Technical part | $346.74 | $478.63 | $707.95 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $346.74 Typical High $407.38 | Professional | 26 · Professional part | $269.15 | $346.74 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,174.90 Typical High $3,019.95 | Professional | None (both parts) | $758.58 | $1,174.90 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $229.09 Typical High $371.54 | Professional | 26 · Professional part | $144.54 | $229.09 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $933.25 Typical High $2,691.53 | Professional | TC · Technical part | $537.03 | $933.25 | $2,691.53 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $4,466.84 | Facility | None | $537.03 | $537.03 | $4,466.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $562.34 Median $891.25 Typical High $7,079.46 | Professional | None (both parts) | $562.34 | $891.25 | $7,079.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $165.96 Median $295.12 Typical High $1,659.59 | Professional | 26 · Professional part | $165.96 | $295.12 | $1,659.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $575.44 Typical High $6,918.31 | Professional | TC · Technical part | $316.23 | $575.44 | $6,918.31 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $741.31 Typical High $1,318.26 | Professional | None (both parts) | $446.68 | $741.31 | $1,318.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $263.03 Typical High $338.84 | Professional | 26 · Professional part | $158.49 | $263.03 | $338.84 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $478.63 Typical High $891.25 | Professional | TC · Technical part | $269.15 | $478.63 | $891.25 |
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 $239.88 Median $269.15 Typical High $380.19 | Professional | 52 · Reduced service | $239.88 | $269.15 | $380.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $107.15 Typical High $154.88 | Professional | 53 · Discontinued | $95.50 | $107.15 | $154.88 |
Where North Dakota sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 24th of 51
$776
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.