How much rates vary
Facilitymedian $132 · 10th to 90th $132 to $224Professionalmedian $251 · 10th to 90th $126 to $617
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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $107.15 | $131.83 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $69.18 | Professional | 26 · Professional part | $47.86 | $54.95 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $177.83 | Professional | TC · Technical part | $58.88 | $75.86 | $177.83 |
BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $213.80 | $275.42 | $323.59 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $91.20 | $117.49 | $138.04 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $181.97 | Professional | TC · Technical part | $120.23 | $154.88 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $229.09 Typical High $478.63 | Professional | None (both parts) | $112.20 | $229.09 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $79.43 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $131.83 Typical High $363.08 | Professional | TC · Technical part | $64.57 | $131.83 | $363.08 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $131.83 Typical High $389.05 | Facility | None | $131.83 | $131.83 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $3,090.30 | Professional | None (both parts) | $151.36 | $275.42 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $109.65 Typical High $630.96 | Professional | 26 · Professional part | $54.95 | $109.65 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $165.96 Typical High $2,818.38 | Professional | TC · Technical part | $75.86 | $165.96 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $125.89 | $229.09 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $87.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $131.83 Typical High $199.53 | Professional | TC · Technical part | $72.44 | $131.83 | $199.53 |
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 $53.70 Median $64.57 Typical High $97.72 | Professional | 52 · Reduced service | $53.70 | $64.57 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $26.30 Typical High $38.90 | Professional | 53 · Discontinued | $21.38 | $26.30 | $38.90 |
BCBS Setting Professional Modifier 22 · Increased work Typical Low $257.04 Median $331.13 Typical High $389.05 | Professional | 22 · Increased work | $257.04 | $331.13 | $389.05 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $54.95 Typical High $64.57 | Professional | 55 · Aftercare only | $42.66 | $54.95 | $64.57 |
Where North Dakota sits
The same service costs 4.9 times more in Alaska than in Utah. 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· 12th of 51
$240
AK $372UT $75.86
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.