How much rates vary
Facilitymedian $933 · 10th to 90th $933 to $1,202Professionalmedian $1,380 · 10th to 90th $933 to $2,630
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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $933.25 Typical High $1,023.29 | Professional | None (both parts) | $912.01 | $933.25 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $190.55 Typical High $213.80 | Professional | 26 · Professional part | $186.21 | $190.55 | $213.80 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $141.25 Typical High $154.88 | Professional | 55 · Aftercare only | $134.90 | $141.25 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $741.31 Typical High $812.83 | Professional | TC · Technical part | $707.95 | $741.31 | $812.83 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $346.74 Median $457.09 Typical High $537.03 | Professional | 22 · Increased work | $346.74 | $457.09 | $537.03 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $380.19 Typical High $446.68 | Professional | 26 · Professional part | $288.40 | $380.19 | $446.68 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $75.86 Typical High $89.13 | Professional | 55 · Aftercare only | $57.54 | $75.86 | $89.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,348.96 Typical High $1,949.84 | Professional | None (both parts) | $954.99 | $1,348.96 | $1,949.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $363.08 Typical High $457.09 | Professional | 26 · Professional part | $208.93 | $363.08 | $457.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $977.24 Typical High $1,445.44 | Professional | TC · Technical part | $741.31 | $977.24 | $1,445.44 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $2,818.38 | Facility | None | $933.25 | $933.25 | $2,818.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $954.99 Median $2,041.74 Typical High $5,754.40 | Professional | None (both parts) | $954.99 | $2,041.74 | $5,754.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $363.08 Typical High $1,445.44 | Professional | 26 · Professional part | $190.55 | $363.08 | $1,445.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,621.81 Typical High $4,677.35 | Professional | TC · Technical part | $724.44 | $1,621.81 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,659.59 Typical High $2,630.27 | Professional | None (both parts) | $954.99 | $1,659.59 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $338.84 Typical High $436.52 | Professional | 26 · Professional part | $190.55 | $338.84 | $436.52 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,348.96 Typical High $2,290.87 | Professional | TC · Technical part | $724.44 | $1,348.96 | $2,290.87 |
3 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 $446.68 Median $467.74 Typical High $512.86 | Professional | 52 · Reduced service | $446.68 | $467.74 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $186.21 Typical High $204.17 | Professional | 53 · Discontinued | $181.97 | $186.21 | $204.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $91.20 Median $93.33 Typical High $102.33 | Professional | 56 · Pre-op care only | $91.20 | $93.33 | $102.33 |
Where North Dakota sits
The same service costs 9.1 times more in Alaska 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· 9th of 51
$1,318
AK $2,188KY $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.