How much rates vary
Facilitymedian $17 · 10th to 90th $17 to $25Professionalmedian $30 · 10th to 90th $14 to $39
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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.60 Typical High $19.05 | Professional | None (both parts) | $16.22 | $16.60 | $19.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.49 Typical High $14.79 | Professional | 26 · Professional part | $12.59 | $13.49 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.09 Median $3.09 Typical High $3.98 | Professional | TC · Technical part | $3.09 | $3.09 | $3.98 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $29.51 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $29.51 | $38.90 | $38.90 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $22.91 | $30.90 | $30.90 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $8.71 Typical High $8.71 | Professional | TC · Technical part | $6.46 | $8.71 | $8.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $11.48 Median $29.51 Typical High $45.71 | Professional | None (both parts) | $11.48 | $29.51 | $45.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $9.12 | $23.44 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.34 Median $6.03 Typical High $9.33 | Professional | TC · Technical part | $2.34 | $6.03 | $9.33 |
Medica Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $50.12 | Facility | None | $16.60 | $16.60 | $50.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $12.88 Median $19.50 Typical High $263.03 | Professional | None (both parts) | $12.88 | $19.50 | $263.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.98 Typical High $85.11 | Professional | 26 · Professional part | $11.22 | $16.98 | $85.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1.70 Median $2.75 Typical High $208.93 | Professional | TC · Technical part | $1.70 | $2.75 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $14.45 Median $17.38 Typical High $30.20 | Professional | None (both parts) | $14.45 | $17.38 | $30.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.49 Typical High $26.30 | Professional | 26 · Professional part | $11.22 | $13.49 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $2.75 Median $3.39 Typical High $6.46 | Professional | TC · Technical part | $2.75 | $3.39 | $6.46 |
4 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.13 Median $8.32 Typical High $9.33 | Professional | 52 · Reduced service | $8.13 | $8.32 | $9.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.31 Typical High $3.80 | Professional | 53 · Discontinued | $3.24 | $3.31 | $3.80 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $35.48 Median $46.77 Typical High $46.77 | Professional | 22 · Increased work | $35.48 | $46.77 | $46.77 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $5.89 Median $7.76 Typical High $7.76 | Professional | 55 · Aftercare only | $5.89 | $7.76 | $7.76 |
Where North Dakota sits
The same service costs 2.6 times more in California 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· 6th of 51
$28.84
CA $38.02NY $14.45
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.