How much rates vary
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 $489.78 Median $489.78 Typical High $1,513.56 | Facility | None | $489.78 | $489.78 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $489.78 Typical High $1,174.90 | Professional | None (both parts) | $398.11 | $489.78 | $1,174.90 |
BCBS Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,023.29 Typical High $1,230.27 | Professional | None (both parts) | $831.76 | $1,023.29 | $1,230.27 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $489.78 Typical High $588.84 | Professional | 26 · Professional part | $398.11 | $489.78 | $588.84 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $537.03 Typical High $645.65 | Professional | TC · Technical part | $436.52 | $537.03 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $812.83 Typical High $1,174.90 | Professional | None (both parts) | $489.78 | $812.83 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $389.05 Typical High $562.34 | Professional | 26 · Professional part | $239.88 | $389.05 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $416.87 Typical High $660.69 | Professional | TC · Technical part | $245.47 | $416.87 | $660.69 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $691.83 Typical High $1,047.13 | Facility | None | $489.78 | $691.83 | $1,047.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $501.19 Median $954.99 Typical High $2,884.03 | Professional | None (both parts) | $501.19 | $954.99 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $446.68 Typical High $1,412.54 | Professional | 26 · Professional part | $234.42 | $446.68 | $1,412.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $549.54 Typical High $1,479.11 | Professional | TC · Technical part | $263.03 | $549.54 | $1,479.11 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $912.01 Typical High $1,096.48 | Professional | None (both parts) | $501.19 | $912.01 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $398.11 Typical High $512.86 | Professional | 26 · Professional part | $234.42 | $398.11 | $512.86 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $489.78 Typical High $588.84 | Professional | TC · Technical part | $263.03 | $489.78 | $588.84 |
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 $1,000.00 Median $1,230.27 Typical High $1,479.11 | Professional | 22 · Increased work | $1,000.00 | $1,230.27 | $1,479.11 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $165.96 Median $204.17 Typical High $245.47 | Professional | 55 · Aftercare only | $165.96 | $204.17 | $245.47 |
Where North Dakota sits
The same service costs 4.4 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· 5th of 51
$955
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.