How much rates vary
Facilitymedian $62 · 10th to 90th $36 to $166Professionalmedian $66 · 10th to 90th $35 to $102
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 $36.31 Median $36.31 Typical High $223.87 | Facility | None | $36.31 | $36.31 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $83.18 | Professional | None (both parts) | $30.20 | $36.31 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $19.05 | Professional | 26 · Professional part | $7.41 | $8.91 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $64.57 | Professional | TC · Technical part | $22.39 | $27.54 | $64.57 |
BCBS North Dakota Setting Facility Modifier None Typical Low $114.82 Median $138.04 Typical High $165.96 | Facility | None | $114.82 | $138.04 | $165.96 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $66.07 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $66.07 | $85.11 | $100.00 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $22.39 | Professional | 26 · Professional part | $14.79 | $19.05 | $22.39 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $77.62 | Professional | TC · Technical part | $51.29 | $66.07 | $77.62 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $57.54 Typical High $91.20 | Professional | None (both parts) | $31.62 | $57.54 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.30 Typical High $20.89 | Professional | 26 · Professional part | $7.76 | $12.30 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $44.67 Typical High $69.18 | Professional | TC · Technical part | $22.39 | $44.67 | $69.18 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $36.31 Typical High $109.65 | Facility | None | $20.89 | $36.31 | $109.65 |
Medica Setting Professional Modifier None (both parts) Typical Low $34.67 Median $66.07 Typical High $245.47 | Professional | None (both parts) | $34.67 | $66.07 | $245.47 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $17.78 Typical High $61.66 | Professional | 26 · Professional part | $8.71 | $17.78 | $61.66 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $47.86 Typical High $190.55 | Professional | TC · Technical part | $26.30 | $47.86 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $57.54 Typical High $67.61 | Professional | None (both parts) | $34.67 | $57.54 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $14.13 Typical High $19.05 | Professional | 26 · Professional part | $8.51 | $14.13 | $19.05 |
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 |
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 $14.79 Median $18.20 Typical High $19.50 | Professional | 52 · Reduced service | $14.79 | $18.20 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.24 Typical High $7.76 | Professional | 53 · Discontinued | $6.03 | $7.24 | $7.76 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $79.43 Median $102.33 Typical High $120.23 | Professional | 22 · Increased work | $79.43 | $102.33 | $120.23 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $13.18 Median $16.98 Typical High $19.95 | Professional | 55 · Aftercare only | $13.18 | $16.98 | $19.95 |
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· 9th of 51
$66.07
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.