How much rates vary
Facilitymedian $120 · 10th to 90th $74 to $162Professionalmedian $145 · 10th to 90th $66 to $355
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 $72.44 Median $134.90 Typical High $134.90 | Facility | None | $72.44 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $263.03 | Professional | None (both parts) | $104.71 | $134.90 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $40.74 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $93.33 Typical High $173.78 | Professional | TC · Technical part | $74.13 | $93.33 | $173.78 |
BCBS North Dakota Setting Facility Modifier None Typical Low $74.13 Median $83.18 Typical High $107.15 | Facility | None | $74.13 | $83.18 | $107.15 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $56.23 Median $75.86 Typical High $87.10 | Professional | None (both parts) | $56.23 | $75.86 | $87.10 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $58.88 | Professional | 26 · Professional part | $38.90 | $50.12 | $58.88 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.99 Typical High $27.54 | Professional | TC · Technical part | $17.78 | $23.99 | $27.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $112.20 | $162.18 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $36.31 | $57.54 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $97.72 Typical High $204.17 | Professional | TC · Technical part | $67.61 | $97.72 | $204.17 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $407.38 | Facility | None | $134.90 | $134.90 | $407.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $269.15 Typical High $812.83 | Professional | None (both parts) | $134.90 | $269.15 | $812.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $77.62 Typical High $239.88 | Professional | 26 · Professional part | $41.69 | $77.62 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $190.55 Typical High $562.34 | Professional | TC · Technical part | $95.50 | $190.55 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $134.90 | $223.87 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $67.61 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $95.50 | $154.88 | $223.87 |
2 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $67.61 Median $91.20 Typical High $104.71 | Professional | 22 · Increased work | $67.61 | $91.20 | $104.71 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $15.14 Typical High $17.38 | Professional | 55 · Aftercare only | $11.48 | $15.14 | $17.38 |
Where North Dakota sits
The same service costs 4.2 times more in Alaska than in New York. 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· 36th of 51
$135
AK $372NY $89.13
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.