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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $37.15 Typical High $37.15 | Professional | None | $33.11 | $37.15 | $37.15 |
BCBS Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $57.54 | Professional | None | $48.98 | $57.54 | $57.54 |
BCBS Setting Professional Modifier 22 · Increased work Typical Low $58.88 Median $69.18 Typical High $69.18 | Professional | 22 · Increased work | $58.88 | $69.18 | $69.18 |
BCBS Setting Professional Modifier 55 · Aftercare only Typical Low $9.77 Median $11.48 Typical High $11.48 | Professional | 55 · Aftercare only | $9.77 | $11.48 | $11.48 |
BCBS Setting Professional Modifier RR · Rental Typical Low $4.90 Median $5.75 Typical High $5.75 | Professional | RR · Rental | $4.90 | $5.75 | $5.75 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $43.65 | Facility | None | $33.11 | $33.11 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $70.79 | Professional | None | $56.23 | $56.23 | $70.79 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $38.90 Typical High $239.88 | Facility | None | $37.15 | $38.90 | $239.88 |
Medica Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $43.65 | Professional | None | $22.39 | $28.84 | $43.65 |
United Setting Professional Modifier None Typical Low $19.05 Median $28.84 Typical High $43.65 | Professional | None | $19.05 | $28.84 | $43.65 |
United Setting Professional Modifier RR · Rental Typical Low $1.91 Median $2.95 Typical High $4.37 | Professional | RR · Rental | $1.91 | $2.95 | $4.37 |
1 more rate 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 |
|---|---|---|---|---|---|
United Setting Professional Modifier UE · Used equipment Typical Low $14.13 Median $21.88 Typical High $33.11 | Professional | UE · Used equipment | $14.13 | $21.88 | $33.11 |
Where North Dakota sits
The same service costs 2.3 times more in Kansas than in New Mexico. 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
$48.98
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.