How much rates vary
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 $67.61 Median $67.61 Typical High $436.52 | Facility | None | $67.61 | $67.61 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $67.61 Typical High $165.96 | Professional | None (both parts) | $47.86 | $67.61 | $165.96 |
BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $117.49 | $144.54 | $173.78 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $70.79 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $70.79 | $85.11 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $74.13 Typical High $89.13 | Professional | TC · Technical part | $60.26 | $74.13 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $123.03 Typical High $162.18 | Professional | None (both parts) | $69.18 | $123.03 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $54.95 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $61.66 Typical High $89.13 | Professional | TC · Technical part | $33.88 | $61.66 | $89.13 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $389.05 Typical High $1,778.28 | Facility | None | $67.61 | $389.05 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $67.61 Median $134.90 Typical High $467.74 | Professional | None (both parts) | $67.61 | $134.90 | $467.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $64.57 Typical High $380.19 | Professional | 26 · Professional part | $33.88 | $64.57 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $66.07 Typical High $380.19 | Professional | TC · Technical part | $34.67 | $66.07 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $67.61 | $120.23 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $57.54 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $57.54 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $61.66 Typical High $79.43 | Professional | TC · Technical part | $34.67 | $61.66 | $79.43 |
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 Setting Professional Modifier 22 · Increased work Typical Low $141.25 Median $173.78 Typical High $208.93 | Professional | 22 · Increased work | $141.25 | $173.78 | $208.93 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $23.44 Median $28.84 Typical High $34.67 | Professional | 55 · Aftercare only | $23.44 | $28.84 | $34.67 |
Where North Dakota sits
The same service costs 4.7 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· 6th of 51
$135
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.