How much rates vary
Facilitymedian $631 · 10th to 90th $209 to $2,630Professionalmedian $776 · 10th to 90th $417 to $1,230
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 $208.93 Median $302.00 Typical High $2,630.27 | Facility | None | $208.93 | $302.00 | $2,630.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $416.87 Typical High $794.33 | Professional | None (both parts) | $208.93 | $416.87 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $269.15 | Professional | 26 · Professional part | $83.18 | $114.82 | $269.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $309.03 Typical High $575.44 | Professional | TC · Technical part | $125.89 | $309.03 | $575.44 |
BCBS Setting Facility Modifier None Typical Low $1,905.46 Median $2,344.23 Typical High $3,388.44 | Facility | None | $1,905.46 | $2,344.23 | $3,388.44 |
BCBS Setting Professional Modifier None (both parts) Typical Low $724.44 Median $933.25 Typical High $1,096.48 | Professional | None (both parts) | $724.44 | $933.25 | $1,096.48 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $251.19 Typical High $295.12 | Professional | 26 · Professional part | $190.55 | $251.19 | $295.12 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $691.83 Typical High $812.83 | Professional | TC · Technical part | $524.81 | $691.83 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $707.95 Typical High $1,096.48 | Professional | None (both parts) | $457.09 | $707.95 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $165.96 Typical High $288.40 | Professional | 26 · Professional part | $112.20 | $165.96 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $489.78 Typical High $812.83 | Professional | TC · Technical part | $338.84 | $489.78 | $812.83 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $426.58 Typical High $1,479.11 | Facility | None | $208.93 | $426.58 | $1,479.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $446.68 Median $776.25 Typical High $4,786.30 | Professional | None (both parts) | $446.68 | $776.25 | $4,786.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $239.88 Typical High $1,621.81 | Professional | 26 · Professional part | $120.23 | $239.88 | $1,621.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $562.34 Typical High $3,630.78 | Professional | TC · Technical part | $331.13 | $562.34 | $3,630.78 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $724.44 Typical High $912.01 | Professional | None (both parts) | $446.68 | $724.44 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $199.53 Typical High $257.04 | Professional | 26 · Professional part | $117.49 | $199.53 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $501.19 Typical High $758.58 | Professional | TC · Technical part | $331.13 | $501.19 | $758.58 |
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 $104.71 Median $141.25 Typical High $251.19 | Professional | 52 · Reduced service | $104.71 | $141.25 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $56.23 Typical High $100.00 | Professional | 53 · Discontinued | $41.69 | $56.23 | $100.00 |
BCBS Setting Professional Modifier 22 · Increased work Typical Low $870.96 Median $1,122.02 Typical High $1,318.26 | Professional | 22 · Increased work | $870.96 | $1,122.02 | $1,318.26 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $144.54 Median $186.21 Typical High $218.78 | Professional | 55 · Aftercare only | $144.54 | $186.21 | $218.78 |
Where North Dakota sits
The same service costs 6.8 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· 6th of 51
$776
AK $1,148UT $170
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.