How much rates vary
Facilitymedian $372 · 10th to 90th $372 to $1,122Professionalmedian $759 · 10th to 90th $372 to $1,047
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 $371.54 Median $371.54 Typical High $1,995.26 | Facility | None | $371.54 | $371.54 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $489.78 | Professional | None (both parts) | $371.54 | $371.54 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $109.65 | Professional | 26 · Professional part | $83.18 | $87.10 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $389.05 | Professional | TC · Technical part | $288.40 | $288.40 | $389.05 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $660.69 Median $851.14 Typical High $1,023.29 | Professional | None (both parts) | $660.69 | $851.14 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $794.33 Median $1,023.29 Typical High $1,202.26 | Professional | 22 · Increased work | $794.33 | $1,023.29 | $1,202.26 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $199.53 Typical High $239.88 | Professional | 26 · Professional part | $154.88 | $199.53 | $239.88 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $169.82 Typical High $204.17 | Professional | 55 · Aftercare only | $131.83 | $169.82 | $204.17 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $645.65 Typical High $776.25 | Professional | TC · Technical part | $512.86 | $645.65 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $776.25 Typical High $1,071.52 | Professional | None (both parts) | $302.00 | $776.25 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $181.97 Typical High $223.87 | Professional | 26 · Professional part | $109.65 | $181.97 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $602.56 Typical High $851.14 | Professional | TC · Technical part | $229.09 | $602.56 | $851.14 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $1,122.02 | Facility | None | $371.54 | $371.54 | $1,122.02 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $524.81 Typical High $3,162.28 | Professional | None (both parts) | $346.74 | $524.81 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $169.82 Typical High $645.65 | Professional | 26 · Professional part | $95.50 | $169.82 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $354.81 Typical High $2,570.40 | Professional | TC · Technical part | $229.09 | $354.81 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $489.78 Typical High $851.14 | Professional | None (both parts) | $316.23 | $489.78 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $162.18 Typical High $204.17 | Professional | 26 · Professional part | $95.50 | $162.18 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $331.13 Typical High $645.65 | Professional | TC · Technical part | $229.09 | $331.13 | $645.65 |
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 $186.21 Median $186.21 Typical High $281.84 | Professional | 52 · Reduced service | $186.21 | $186.21 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $112.20 | Professional | 53 · Discontinued | $75.86 | $75.86 | $112.20 |
Where North Dakota sits
The same service costs 6.5 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· 8th of 51
$724
AK $1,413KY $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.