How much rates vary
Facilitymedian $58 · 10th to 90th $58 to $89Professionalmedian $105 · 10th to 90th $55 to $174
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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $57.54 Typical High $63.10 | Professional | None (both parts) | $46.77 | $57.54 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $14.45 | $17.78 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $45.71 | Professional | TC · Technical part | $30.20 | $38.90 | $45.71 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $107.15 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $107.15 | $138.04 | $162.18 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.02 Typical High $44.67 | Professional | 26 · Professional part | $29.51 | $38.02 | $44.67 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $77.62 | $100.00 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $93.33 Typical High $147.91 | Professional | None (both parts) | $51.29 | $93.33 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $25.70 Typical High $43.65 | Professional | 26 · Professional part | $16.22 | $25.70 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $69.18 Typical High $104.71 | Professional | TC · Technical part | $32.36 | $69.18 | $104.71 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $169.82 | Facility | None | $57.54 | $57.54 | $169.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $54.95 Median $104.71 Typical High $398.11 | Professional | None (both parts) | $54.95 | $104.71 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $35.48 Typical High $117.49 | Professional | 26 · Professional part | $16.98 | $35.48 | $117.49 |
Medica Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $69.18 Typical High $288.40 | Professional | TC · Technical part | $37.15 | $69.18 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $89.13 Typical High $107.15 | Professional | None (both parts) | $54.95 | $89.13 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.18 Typical High $38.02 | Professional | 26 · Professional part | $16.98 | $28.18 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $60.26 Typical High $74.13 | Professional | TC · Technical part | $37.15 | $60.26 | $74.13 |
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 $22.91 Median $28.18 Typical High $31.62 | Professional | 52 · Reduced service | $22.91 | $28.18 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $11.48 Typical High $12.59 | Professional | 53 · Discontinued | $9.33 | $11.48 | $12.59 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $128.82 Median $165.96 Typical High $194.98 | Professional | 22 · Increased work | $128.82 | $165.96 | $194.98 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $27.54 Typical High $32.36 | Professional | 55 · Aftercare only | $21.38 | $27.54 | $32.36 |
Where North Dakota sits
The same service costs 5.6 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· 9th of 51
$105
AK $182UT $32.36
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.