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 $229.09 Median $229.09 Typical High $239.88 | Facility | None | $229.09 | $229.09 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $229.09 Typical High $478.63 | Professional | None (both parts) | $218.78 | $229.09 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $162.18 Typical High $269.15 | Professional | 26 · Professional part | $141.25 | $162.18 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $363.08 | Professional | TC · Technical part | $173.78 | $181.97 | $363.08 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $354.81 Typical High $416.87 | Professional | 26 · Professional part | $275.42 | $354.81 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,000.00 Typical High $3,019.95 | Professional | None (both parts) | $489.78 | $1,000.00 | $3,019.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $234.42 Typical High $389.05 | Professional | 26 · Professional part | $158.49 | $234.42 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $933.25 Typical High $2,630.27 | Professional | TC · Technical part | $257.04 | $933.25 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $5,495.41 | Facility | None | $229.09 | $229.09 | $5,495.41 |
Medica Setting Professional Modifier None (both parts) Typical Low $354.81 Median $851.14 Typical High $9,332.54 | Professional | None (both parts) | $354.81 | $851.14 | $9,332.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $323.59 Typical High $1,000.00 | Professional | 26 · Professional part | $169.82 | $323.59 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $524.81 Typical High $9,120.11 | Professional | TC · Technical part | $181.97 | $524.81 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $602.56 Typical High $1,071.52 | Professional | None (both parts) | $354.81 | $602.56 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $281.84 Typical High $407.38 | Professional | 26 · Professional part | $158.49 | $281.84 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $331.13 Typical High $645.65 | Professional | TC · Technical part | $181.97 | $331.13 | $645.65 |
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 $109.65 Median $114.82 Typical High $239.88 | Professional | 52 · Reduced service | $109.65 | $114.82 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $45.71 Typical High $95.50 | Professional | 53 · Discontinued | $43.65 | $45.71 | $95.50 |
Where North Dakota sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 20th of 51
$646
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.