How much rates vary
Facilitymedian $275 · 10th to 90th $275 to $832Professionalmedian $490 · 10th to 90th $234 to $708
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 $263.03 Median $275.42 Typical High $758.58 | Facility | None | $263.03 | $275.42 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $194.98 | $263.03 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $128.82 | Professional | 26 · Professional part | $70.79 | $83.18 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $125.89 | $186.21 | $354.81 |
BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $602.56 Typical High $707.95 | Professional | None (both parts) | $457.09 | $602.56 | $707.95 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $181.97 Typical High $208.93 | Professional | 26 · Professional part | $138.04 | $181.97 | $208.93 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $416.87 Typical High $489.78 | Professional | TC · Technical part | $323.59 | $416.87 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $398.11 Typical High $616.60 | Professional | None (both parts) | $204.17 | $398.11 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $120.23 Typical High $204.17 | Professional | 26 · Professional part | $74.13 | $120.23 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $275.42 Typical High $426.58 | Professional | TC · Technical part | $125.89 | $275.42 | $426.58 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $831.76 | Facility | None | $275.42 | $275.42 | $831.76 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $562.34 Typical High $1,698.24 | Professional | None (both parts) | $275.42 | $562.34 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $169.82 Typical High $501.19 | Professional | 26 · Professional part | $83.18 | $169.82 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $398.11 Typical High $1,202.26 | Professional | TC · Technical part | $194.98 | $398.11 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $436.52 Typical High $562.34 | Professional | None (both parts) | $275.42 | $436.52 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $134.90 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $134.90 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $295.12 Typical High $398.11 | Professional | TC · Technical part | $194.98 | $295.12 | $398.11 |
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 $100.00 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $100.00 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $39.81 | $54.95 | $54.95 |
BCBS Setting Professional Modifier 22 · Increased work Typical Low $549.54 Median $724.44 Typical High $831.76 | Professional | 22 · Increased work | $549.54 | $724.44 | $831.76 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $120.23 Typical High $141.25 | Professional | 55 · Aftercare only | $91.20 | $120.23 | $141.25 |
Where North Dakota sits
The same service costs 5.0 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· 7th of 51
$490
AK $794UT $158
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.