How much rates vary
Facilitymedian $174 · 10th to 90th $38 to $380Professionalmedian $71 · 10th to 90th $36 to $110
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 $38.02 Median $245.47 Typical High $426.58 | Facility | None | $38.02 | $245.47 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $40.74 Typical High $89.13 | Professional | None (both parts) | $33.11 | $40.74 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.48 Typical High $23.44 | Professional | 26 · Professional part | $9.55 | $11.48 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $66.07 | Professional | TC · Technical part | $24.55 | $30.20 | $66.07 |
BCBS North Dakota Setting Facility Modifier None Typical Low $112.20 Median $131.83 Typical High $223.87 | Facility | None | $112.20 | $131.83 | $223.87 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $107.15 | Professional | None (both parts) | $70.79 | $91.20 | $107.15 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $28.84 | Professional | 26 · Professional part | $18.62 | $24.55 | $28.84 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $79.43 | Professional | TC · Technical part | $52.48 | $67.61 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $60.26 Typical High $95.50 | Professional | None (both parts) | $36.31 | $60.26 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $16.60 Typical High $26.92 | Professional | 26 · Professional part | $10.23 | $16.60 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $44.67 Typical High $69.18 | Professional | TC · Technical part | $25.70 | $44.67 | $69.18 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $173.78 Typical High $302.00 | Facility | None | $38.02 | $173.78 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $36.31 Median $70.79 Typical High $257.04 | Professional | None (both parts) | $36.31 | $70.79 | $257.04 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $22.39 Typical High $83.18 | Professional | 26 · Professional part | $12.59 | $22.39 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $47.86 Typical High $208.93 | Professional | TC · Technical part | $26.30 | $47.86 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $60.26 Typical High $81.28 | Professional | None (both parts) | $36.31 | $60.26 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $17.78 Typical High $24.55 | Professional | 26 · Professional part | $10.96 | $17.78 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $41.69 Typical High $54.95 | Professional | TC · Technical part | $25.70 | $41.69 | $54.95 |
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 $17.38 Median $19.05 Typical High $20.42 | Professional | 52 · Reduced service | $17.38 | $19.05 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.59 Typical High $8.13 | Professional | 53 · Discontinued | $6.92 | $7.59 | $8.13 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $85.11 Median $109.65 Typical High $128.82 | Professional | 22 · Increased work | $85.11 | $109.65 | $128.82 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $18.20 Typical High $21.38 | Professional | 55 · Aftercare only | $14.13 | $18.20 | $21.38 |
Where North Dakota sits
The same service costs 12.6 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
$75.86
VT $389FL $30.90
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.