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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $30.20 | Professional | None (both parts) | $25.12 | $29.51 | $30.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.72 Typical High $10.96 | Professional | 26 · Professional part | $9.12 | $10.72 | $10.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.05 Typical High $19.50 | Professional | TC · Technical part | $16.22 | $19.05 | $19.50 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $25.12 | Professional | 26 · Professional part | $16.60 | $21.38 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $60.26 Typical High $117.49 | Professional | None (both parts) | $25.70 | $60.26 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.49 Typical High $25.70 | Professional | 26 · Professional part | $9.33 | $15.49 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $38.02 Typical High $91.20 | Professional | TC · Technical part | $16.60 | $38.02 | $91.20 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $91.20 | Facility | None | $30.20 | $30.20 | $91.20 |
Medica Setting Professional Modifier None (both parts) Typical Low $52.48 Median $123.03 Typical High $302.00 | Professional | None (both parts) | $52.48 | $123.03 | $302.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $20.89 Typical High $131.83 | Professional | 26 · Professional part | $10.47 | $20.89 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $102.33 Typical High $275.42 | Professional | TC · Technical part | $41.69 | $102.33 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $85.11 Typical High $123.03 | Professional | None (both parts) | $52.48 | $85.11 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $16.98 Typical High $22.91 | Professional | 26 · Professional part | $10.23 | $16.98 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $70.79 Typical High $102.33 | Professional | TC · Technical part | $41.69 | $70.79 | $102.33 |
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 $12.59 Median $14.79 Typical High $15.14 | Professional | 52 · Reduced service | $12.59 | $14.79 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.89 Typical High $6.03 | Professional | 53 · Discontinued | $5.01 | $5.89 | $6.03 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $19.95 Median $25.70 Typical High $30.20 | Professional | 22 · Increased work | $19.95 | $25.70 | $30.20 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $3.31 Median $4.27 Typical High $5.01 | Professional | 55 · Aftercare only | $3.31 | $4.27 | $5.01 |
Where North Dakota sits
The same service costs 4.7 times more in Alaska 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· 9th of 51
$79.43
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.