How much rates vary
Facilitymedian $166 · 10th to 90th $166 to $234Professionalmedian $309 · 10th to 90th $158 to $457
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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $173.78 | Professional | None (both parts) | $131.83 | $165.96 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $63.10 | Professional | 26 · Professional part | $51.29 | $58.88 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $104.71 Typical High $112.20 | Professional | TC · Technical part | $81.28 | $104.71 | $112.20 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $281.84 Median $363.08 Typical High $426.58 | Professional | None (both parts) | $281.84 | $363.08 | $426.58 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $147.91 | Professional | 26 · Professional part | $95.50 | $125.89 | $147.91 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $239.88 Typical High $281.84 | Professional | TC · Technical part | $186.21 | $239.88 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $251.19 Typical High $407.38 | Professional | None (both parts) | $128.82 | $251.19 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $85.11 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $85.11 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $165.96 Typical High $257.04 | Professional | TC · Technical part | $77.62 | $165.96 | $257.04 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $489.78 | Facility | None | $165.96 | $165.96 | $489.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $309.03 Typical High $1,096.48 | Professional | None (both parts) | $158.49 | $309.03 | $1,096.48 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $123.03 Typical High $363.08 | Professional | 26 · Professional part | $58.88 | $123.03 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $186.21 Typical High $741.31 | Professional | TC · Technical part | $100.00 | $186.21 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $257.04 Typical High $309.03 | Professional | None (both parts) | $158.49 | $257.04 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $95.50 Typical High $128.82 | Professional | 26 · Professional part | $57.54 | $95.50 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $162.18 Typical High $194.98 | Professional | TC · Technical part | $100.00 | $162.18 | $194.98 |
4 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 $66.07 Median $83.18 Typical High $87.10 | Professional | 52 · Reduced service | $66.07 | $83.18 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $33.11 Typical High $34.67 | Professional | 53 · Discontinued | $26.30 | $33.11 | $34.67 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $338.84 Median $436.52 Typical High $512.86 | Professional | 22 · Increased work | $338.84 | $436.52 | $512.86 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $72.44 Typical High $85.11 | Professional | 55 · Aftercare only | $56.23 | $72.44 | $85.11 |
Where North Dakota sits
The same service costs 4.3 times more in Alaska than in Utah. 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
$295
AK $513UT $120
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.