How much rates vary
Facilitymedian $93 · 10th to 90th $31 to $263Professionalmedian $56 · 10th to 90th $30 to $91
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $30.90 Median $33.88 Typical High $323.59 | Facility | None | $30.90 | $33.88 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $75.86 | Professional | None (both parts) | $25.70 | $30.90 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $20.42 | Professional | 26 · Professional part | $7.41 | $8.51 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.39 Typical High $54.95 | Professional | TC · Technical part | $18.62 | $22.39 | $54.95 |
BCBS North Dakota Setting Facility Modifier None Typical Low $79.43 Median $95.50 Typical High $162.18 | Facility | None | $79.43 | $95.50 | $162.18 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $87.10 | Professional | None (both parts) | $57.54 | $74.13 | $87.10 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $23.44 | Professional | 26 · Professional part | $15.14 | $19.95 | $23.44 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $64.57 | Professional | TC · Technical part | $42.66 | $54.95 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $50.12 Typical High $79.43 | Professional | None (both parts) | $27.54 | $50.12 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.88 Typical High $21.88 | Professional | 26 · Professional part | $8.13 | $12.88 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $18.62 | $37.15 | $57.54 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $47.86 Typical High $154.88 | Facility | None | $30.90 | $47.86 | $154.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $29.51 Median $54.95 Typical High $208.93 | Professional | None (both parts) | $29.51 | $54.95 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $16.98 Typical High $83.18 | Professional | 26 · Professional part | $8.51 | $16.98 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $38.02 Typical High $154.88 | Professional | TC · Technical part | $21.38 | $38.02 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $48.98 Typical High $58.88 | Professional | None (both parts) | $29.51 | $48.98 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.49 Typical High $18.20 | Professional | 26 · Professional part | $8.32 | $13.49 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $34.67 Typical High $41.69 | Professional | TC · Technical part | $21.38 | $34.67 | $41.69 |
5 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 $12.88 Median $15.49 Typical High $16.98 | Professional | 52 · Reduced service | $12.88 | $15.49 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.17 Typical High $6.76 | Professional | 53 · Discontinued | $5.13 | $6.17 | $6.76 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $69.18 Median $89.13 Typical High $104.71 | Professional | 22 · Increased work | $69.18 | $89.13 | $104.71 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $147.91 Typical High $173.78 | Professional | 50 · Both sides | $114.82 | $147.91 | $173.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $14.79 Typical High $17.38 | Professional | 55 · Aftercare only | $11.48 | $14.79 | $17.38 |
Where North Dakota sits
The same service costs 4.1 times more in Alaska than in New York. 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
$57.54
AK $95.50NY $23.44
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.