How much rates vary
Facilitymedian $186 · 10th to 90th $44 to $389Professionalmedian $58 · 10th to 90th $32 to $89
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 $33.11 Median $239.88 Typical High $407.38 | Facility | None | $33.11 | $239.88 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $27.54 | $33.11 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $22.91 | Professional | 26 · Professional part | $8.91 | $10.96 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $51.29 | Professional | TC · Technical part | $17.78 | $21.88 | $51.29 |
BCBS North Dakota Setting Facility Modifier None Typical Low $91.20 Median $107.15 Typical High $169.82 | Facility | None | $91.20 | $107.15 | $169.82 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $57.54 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $57.54 | $75.86 | $89.13 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $26.92 | Professional | 26 · Professional part | $17.78 | $22.91 | $26.92 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $61.66 | Professional | TC · Technical part | $40.74 | $52.48 | $61.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $51.29 Typical High $81.28 | Professional | None (both parts) | $30.20 | $51.29 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.49 Typical High $26.92 | Professional | 26 · Professional part | $10.00 | $15.49 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $36.31 Typical High $54.95 | Professional | TC · Technical part | $20.42 | $36.31 | $54.95 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $169.82 Typical High $245.47 | Facility | None | $48.98 | $169.82 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $31.62 Median $61.66 Typical High $213.80 | Professional | None (both parts) | $31.62 | $61.66 | $213.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $21.88 Typical High $66.07 | Professional | 26 · Professional part | $15.49 | $21.88 | $66.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $38.90 Typical High $147.91 | Professional | TC · Technical part | $20.89 | $38.90 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $51.29 Typical High $67.61 | Professional | None (both parts) | $31.62 | $51.29 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $17.38 Typical High $23.44 | Professional | 26 · Professional part | $10.72 | $17.38 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.88 Typical High $41.69 | Professional | TC · Technical part | $20.89 | $33.88 | $41.69 |
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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $69.18 Median $91.20 Typical High $107.15 | Professional | 22 · Increased work | $69.18 | $91.20 | $107.15 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.14 Typical High $17.78 | Professional | 55 · Aftercare only | $11.75 | $15.14 | $17.78 |
Where North Dakota sits
The same service costs 17.0 times more in Vermont than in Florida. 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
$70.79
VT $447FL $26.30
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.