How much rates vary
Facilitymedian $123 · 10th to 90th $37 to $871Professionalmedian $65 · 10th to 90th $35 to $107
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 $37.15 Median $123.03 Typical High $977.24 | Facility | None | $37.15 | $123.03 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $74.13 | Professional | None (both parts) | $30.90 | $37.15 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $27.54 | Professional | 26 · Professional part | $12.02 | $14.45 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.39 Typical High $52.48 | Professional | TC · Technical part | $17.78 | $22.39 | $52.48 |
BCBS North Dakota Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $70.79 | $93.33 | $107.15 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $36.31 | Professional | 26 · Professional part | $23.99 | $31.62 | $36.31 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $61.66 Typical High $69.18 | Professional | TC · Technical part | $46.77 | $61.66 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $77.62 | Facility | None | $67.61 | $67.61 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $58.88 Typical High $91.20 | Professional | None (both parts) | $33.11 | $58.88 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.95 Typical High $33.88 | Professional | 26 · Professional part | $13.18 | $19.95 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $38.90 Typical High $54.95 | Professional | TC · Technical part | $19.05 | $38.90 | $54.95 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $64.57 Typical High $302.00 | Facility | None | $37.15 | $64.57 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $37.15 Median $63.10 Typical High $288.40 | Professional | None (both parts) | $37.15 | $63.10 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $28.84 Typical High $204.17 | Professional | 26 · Professional part | $15.14 | $28.84 | $204.17 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $34.67 Typical High $229.09 | Professional | TC · Technical part | $22.39 | $34.67 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $74.13 | Professional | None (both parts) | $37.15 | $52.48 | $74.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $22.91 Typical High $31.62 | Professional | 26 · Professional part | $14.79 | $22.91 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $29.51 Typical High $44.67 | Professional | TC · Technical part | $20.89 | $29.51 | $44.67 |
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 $15.49 Median $18.20 Typical High $19.95 | Professional | 52 · Reduced service | $15.49 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.41 Typical High $7.94 | Professional | 53 · Discontinued | $6.17 | $7.41 | $7.94 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $85.11 Median $112.20 Typical High $128.82 | Professional | 22 · Increased work | $85.11 | $112.20 | $128.82 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $18.62 Typical High $21.38 | Professional | 55 · Aftercare only | $14.13 | $18.62 | $21.38 |
Where North Dakota sits
The same service costs 4.1 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
$64.57
AK $117FL $28.84
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.