How much rates vary
Facilitymedian $37 · 10th to 90th $37 to $55Professionalmedian $68 · 10th to 90th $35 to $110
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 (both parts) Typical Low $31.62 Median $37.15 Typical High $39.81 | Professional | None (both parts) | $31.62 | $37.15 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $9.12 Typical High $9.33 | Professional | 26 · Professional part | $7.76 | $9.12 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $27.54 Typical High $30.90 | Professional | TC · Technical part | $23.99 | $27.54 | $30.90 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $104.71 | Professional | None (both parts) | $67.61 | $87.10 | $104.71 |
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 $52.48 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $52.48 | $67.61 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $58.88 Typical High $91.20 | Professional | None (both parts) | $34.67 | $58.88 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.88 Typical High $21.88 | Professional | 26 · Professional part | $8.32 | $12.88 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $25.70 | $45.71 | $70.79 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $109.65 | Facility | None | $37.15 | $37.15 | $109.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $35.48 Median $67.61 Typical High $251.19 | Professional | None (both parts) | $35.48 | $67.61 | $251.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $18.20 Typical High $54.95 | Professional | 26 · Professional part | $8.91 | $18.20 | $54.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $48.98 Typical High $194.98 | Professional | TC · Technical part | $26.30 | $48.98 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $57.54 Typical High $69.18 | Professional | None (both parts) | $35.48 | $57.54 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $14.45 Typical High $19.95 | Professional | 26 · Professional part | $8.91 | $14.45 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $42.66 Typical High $51.29 | Professional | TC · Technical part | $26.30 | $42.66 | $51.29 |
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 $15.85 Median $18.20 Typical High $19.95 | Professional | 52 · Reduced service | $15.85 | $18.20 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.41 Typical High $7.94 | Professional | 53 · Discontinued | $6.31 | $7.41 | $7.94 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $81.28 Median $104.71 Typical High $123.03 | Professional | 22 · Increased work | $81.28 | $104.71 | $123.03 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $177.83 Typical High $208.93 | Professional | 50 · Both sides | $134.90 | $177.83 | $208.93 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $17.78 Typical High $20.89 | Professional | 55 · Aftercare only | $13.49 | $17.78 | $20.89 |
Where North Dakota sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$67.61
AK $112FL $28.84
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.