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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $102.33 Typical High $109.65 | Professional | None (both parts) | $100.00 | $102.33 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $39.81 Typical High $43.65 | Professional | 26 · Professional part | $38.90 | $39.81 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $61.66 Typical High $67.61 | Professional | TC · Technical part | $58.88 | $61.66 | $67.61 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $75.86 Median $97.72 Typical High $117.49 | Professional | 22 · Increased work | $75.86 | $97.72 | $117.49 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $81.28 | $97.72 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.22 Typical High $19.50 | Professional | 55 · Aftercare only | $12.59 | $16.22 | $19.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $114.82 | $199.53 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $47.86 | $81.28 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $120.23 Typical High $158.49 | Professional | TC · Technical part | $69.18 | $120.23 | $158.49 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $302.00 | Facility | None | $102.33 | $102.33 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $457.09 Typical High $1,548.82 | Professional | None (both parts) | $190.55 | $457.09 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $77.62 Typical High $257.04 | Professional | 26 · Professional part | $40.74 | $77.62 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $389.05 Typical High $1,513.56 | Professional | TC · Technical part | $128.82 | $389.05 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $218.78 | $426.58 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $40.74 | $70.79 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $363.08 Typical High $416.87 | Professional | TC · Technical part | $128.82 | $363.08 | $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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $50.12 Median $50.12 Typical High $54.95 | Professional | 52 · Reduced service | $50.12 | $50.12 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.42 Typical High $22.39 | Professional | 53 · Discontinued | $19.95 | $20.42 | $22.39 |
Where North Dakota sits
The same service costs 5.4 times more in Hawaii than in Kentucky. 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· 3rd of 51
$219
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.