How much rates vary
Facilitymedian $32 · 10th to 90th $32 to $129Professionalmedian $59 · 10th to 90th $30 to $89
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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $31.62 Typical High $61.66 | Professional | None (both parts) | $27.54 | $31.62 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.23 Typical High $18.62 | Professional | 26 · Professional part | $8.51 | $10.23 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $21.38 Typical High $42.66 | Professional | TC · Technical part | $18.62 | $21.38 | $42.66 |
BCBS North Dakota Setting Facility Modifier None Typical Low $87.10 Median $128.82 Typical High $281.84 | Facility | None | $87.10 | $128.82 | $281.84 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $85.11 | Professional | None (both parts) | $56.23 | $72.44 | $85.11 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $25.70 | Professional | 26 · Professional part | $16.98 | $21.88 | $25.70 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $50.12 Typical High $58.88 | Professional | TC · Technical part | $38.90 | $50.12 | $58.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $48.98 Typical High $79.43 | Professional | None (both parts) | $28.84 | $48.98 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $14.45 Typical High $24.55 | Professional | 26 · Professional part | $8.91 | $14.45 | $24.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $34.67 Typical High $53.70 | Professional | TC · Technical part | $19.95 | $34.67 | $53.70 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $93.33 | Facility | None | $31.62 | $31.62 | $93.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $60.26 Typical High $208.93 | Professional | None (both parts) | $30.90 | $60.26 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $21.38 Typical High $77.62 | Professional | 26 · Professional part | $10.00 | $21.38 | $77.62 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $38.02 Typical High $194.98 | Professional | TC · Technical part | $20.42 | $38.02 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $48.98 Typical High $61.66 | Professional | None (both parts) | $30.20 | $48.98 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.22 Typical High $21.38 | Professional | 26 · Professional part | $10.00 | $16.22 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $33.11 Typical High $40.74 | Professional | TC · Technical part | $20.42 | $33.11 | $40.74 |
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 $13.80 Median $15.85 Typical High $16.98 | Professional | 52 · Reduced service | $13.80 | $15.85 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.31 Typical High $6.76 | Professional | 53 · Discontinued | $5.50 | $6.31 | $6.76 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $67.61 Median $87.10 Typical High $102.33 | Professional | 22 · Increased work | $67.61 | $87.10 | $102.33 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $14.45 Typical High $16.98 | Professional | 55 · Aftercare only | $11.22 | $14.45 | $16.98 |
Where North Dakota sits
The same service costs 3.8 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
$57.54
AK $95.50FL $25.12
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.