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 $79.43 Median $89.13 Typical High $239.88 | Facility | None | $79.43 | $89.13 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $309.03 | Professional | None (both parts) | $89.13 | $89.13 | $309.03 |
BCBS Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $239.88 | $309.03 | $371.54 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $75.86 Typical High $91.20 | Professional | 26 · Professional part | $58.88 | $75.86 | $91.20 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $281.84 | Professional | TC · Technical part | $181.97 | $234.42 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $190.55 | $190.55 | $239.88 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $123.03 Typical High $229.09 | Facility | None | $89.13 | $123.03 | $229.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $977.24 | Professional | None (both parts) | $190.55 | $281.84 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $269.15 Typical High $288.40 | Professional | None (both parts) | $131.83 | $269.15 | $288.40 |
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 $288.40 Median $371.54 Typical High $446.68 | Professional | 22 · Increased work | $288.40 | $371.54 | $446.68 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $61.66 Typical High $74.13 | Professional | 55 · Aftercare only | $47.86 | $61.66 | $74.13 |
Where North Dakota sits
The same service costs 5.2 times more in Alaska than in Alabama. 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· 4th of 51
$240
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.