How much rates vary
Facilitymedian $145 · 10th to 90th $30 to $263Professionalmedian $52 · 10th to 90th $28 to $81
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 $29.51 Median $165.96 Typical High $338.84 | Facility | None | $29.51 | $165.96 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $29.51 Typical High $69.18 | Professional | None (both parts) | $24.55 | $29.51 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $20.42 | Professional | 26 · Professional part | $7.41 | $9.12 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.95 Typical High $47.86 | Professional | TC · Technical part | $16.60 | $19.95 | $47.86 |
BCBS North Dakota Setting Facility Modifier None Typical Low $77.62 Median $95.50 Typical High $147.91 | Facility | None | $77.62 | $95.50 | $147.91 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $52.48 Median $67.61 Typical High $79.43 | Professional | None (both parts) | $52.48 | $67.61 | $79.43 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $23.44 | Professional | 26 · Professional part | $15.14 | $19.95 | $23.44 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $47.86 Typical High $56.23 | Professional | TC · Technical part | $37.15 | $47.86 | $56.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $45.71 Typical High $72.44 | Professional | None (both parts) | $27.54 | $45.71 | $72.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.88 Typical High $22.39 | Professional | 26 · Professional part | $8.32 | $12.88 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $33.11 Typical High $51.29 | Professional | TC · Technical part | $19.05 | $33.11 | $51.29 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $169.82 Typical High $223.87 | Facility | None | $29.51 | $169.82 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.18 Median $54.95 Typical High $194.98 | Professional | None (both parts) | $28.18 | $54.95 | $194.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $18.20 Typical High $54.95 | Professional | 26 · Professional part | $10.00 | $18.20 | $54.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $36.31 Typical High $138.04 | Professional | TC · Technical part | $19.05 | $36.31 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $45.71 Typical High $60.26 | Professional | None (both parts) | $28.18 | $45.71 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $14.45 Typical High $19.95 | Professional | 26 · Professional part | $8.91 | $14.45 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $31.62 Typical High $38.90 | Professional | TC · Technical part | $19.05 | $31.62 | $38.90 |
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 $63.10 Median $81.28 Typical High $95.50 | Professional | 22 · Increased work | $63.10 | $81.28 | $95.50 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $13.49 Typical High $15.85 | Professional | 55 · Aftercare only | $10.47 | $13.49 | $15.85 |
Where North Dakota sits
The same service costs 5.0 times more in Vermont than in New York. 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· 9th of 51
$57.54
VT $110NY $21.88
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.