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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $218.78 | Professional | None (both parts) | $169.82 | $199.53 | $218.78 |
BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $501.19 | Professional | None (both parts) | $331.13 | $416.87 | $501.19 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $87.10 | Professional | 26 · Professional part | $57.54 | $72.44 | $87.10 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $346.74 Typical High $416.87 | Professional | TC · Technical part | $275.42 | $346.74 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $309.03 Typical High $524.81 | Professional | None (both parts) | $173.78 | $309.03 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $63.10 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $144.54 | $257.04 | $436.52 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $645.65 | Facility | None | $218.78 | $218.78 | $645.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $416.87 Typical High $1,288.25 | Professional | None (both parts) | $218.78 | $416.87 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $67.61 Typical High $363.08 | Professional | 26 · Professional part | $36.31 | $67.61 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $354.81 Typical High $1,096.48 | Professional | TC · Technical part | $181.97 | $354.81 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $398.11 Typical High $489.78 | Professional | None (both parts) | $199.53 | $398.11 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $35.48 | $64.57 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $338.84 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $338.84 | $416.87 |
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 Setting Professional Modifier 22 · Increased work Typical Low $398.11 Median $501.19 Typical High $602.56 | Professional | 22 · Increased work | $398.11 | $501.19 | $602.56 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $83.18 Typical High $100.00 | Professional | 55 · Aftercare only | $66.07 | $83.18 | $100.00 |
Where North Dakota sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 8th of 51
$389
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.