How much rates vary
Facilitymedian $234 · 10th to 90th $234 to $263Professionalmedian $132 · 10th to 90th $78 to $617
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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $181.97 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $15.49 | Professional | 26 · Professional part | $12.59 | $14.79 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $257.04 | Professional | TC · Technical part | $177.83 | $234.42 | $257.04 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $89.13 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $89.13 | $112.20 | $131.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $31.62 | $37.15 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $95.50 | Professional | TC · Technical part | $64.57 | $81.28 | $95.50 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $85.11 Typical High $131.83 | Professional | None (both parts) | $44.67 | $85.11 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $21.38 Typical High $37.15 | Professional | 26 · Professional part | $13.80 | $21.38 | $37.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $64.57 Typical High $93.33 | Professional | TC · Technical part | $30.90 | $64.57 | $93.33 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $234.42 Typical High $707.95 | Facility | None | $22.91 | $234.42 | $707.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $478.63 Typical High $1,288.25 | Professional | None (both parts) | $234.42 | $478.63 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $30.20 Typical High $89.13 | Professional | 26 · Professional part | $14.45 | $30.20 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $446.68 Typical High $1,258.93 | Professional | TC · Technical part | $223.87 | $446.68 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $389.05 Typical High $562.34 | Professional | None (both parts) | $107.15 | $389.05 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $14.45 | $23.44 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $363.08 Typical High $524.81 | Professional | TC · Technical part | $74.13 | $363.08 | $524.81 |
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 $91.20 Median $117.49 Typical High $131.83 | Professional | 52 · Reduced service | $91.20 | $117.49 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $47.86 Typical High $52.48 | Professional | 53 · Discontinued | $36.31 | $47.86 | $52.48 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $107.15 Median $134.90 Typical High $158.49 | Professional | 22 · Increased work | $107.15 | $134.90 | $158.49 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $17.78 Median $22.39 Typical High $26.30 | Professional | 55 · Aftercare only | $17.78 | $22.39 | $26.30 |
Where North Dakota sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 29th of 51
$132
CO $316MI $47.86
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.