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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $181.97 Typical High $229.09 | Professional | None (both parts) | $162.18 | $181.97 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $91.20 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $91.20 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $117.49 | Professional | TC · Technical part | $79.43 | $91.20 | $117.49 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $199.53 Typical High $229.09 | Professional | 26 · Professional part | $151.36 | $199.53 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $436.52 Typical High $831.76 | Professional | None (both parts) | $181.97 | $436.52 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $158.49 Typical High $234.42 | Professional | 26 · Professional part | $91.20 | $158.49 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $208.93 Typical High $602.56 | Professional | TC · Technical part | $89.13 | $208.93 | $602.56 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $549.54 | Facility | None | $181.97 | $181.97 | $549.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $549.54 Typical High $1,230.27 | Professional | None (both parts) | $269.15 | $549.54 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $186.21 Typical High $549.54 | Professional | 26 · Professional part | $93.33 | $186.21 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $354.81 Typical High $1,096.48 | Professional | TC · Technical part | $173.78 | $354.81 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $446.68 Typical High $602.56 | Professional | None (both parts) | $269.15 | $446.68 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $147.91 Typical High $223.87 | Professional | 26 · Professional part | $93.33 | $147.91 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $288.40 Typical High $389.05 | Professional | TC · Technical part | $173.78 | $288.40 | $389.05 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $91.20 Typical High $100.00 | Professional | 52 · Reduced service | $79.43 | $91.20 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $37.15 Typical High $40.74 | Professional | 53 · Discontinued | $32.36 | $37.15 | $40.74 |
Where North Dakota sits
The same service costs 3.1 times more in Alaska 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
$417
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.