How much rates vary
Facilitymedian $31 · 10th to 90th $31 to $110Professionalmedian $59 · 10th to 90th $30 to $91
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 $30.90 Median $30.90 Typical High $85.11 | Facility | None | $30.90 | $30.90 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $30.90 Typical High $77.62 | Professional | None (both parts) | $27.54 | $30.90 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $19.95 | Professional | 26 · Professional part | $7.59 | $8.91 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $57.54 | Professional | TC · Technical part | $20.42 | $23.44 | $57.54 |
BCBS North Dakota Setting Facility Modifier None Typical Low $93.33 Median $109.65 Typical High $112.20 | Facility | None | $93.33 | $109.65 | $112.20 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $87.10 | Professional | None (both parts) | $57.54 | $74.13 | $87.10 |
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 $42.66 Median $54.95 Typical High $64.57 | Professional | TC · Technical part | $42.66 | $54.95 | $64.57 |
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 $7.94 Median $12.30 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $12.30 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $20.89 | $37.15 | $57.54 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $93.33 | Facility | None | $30.90 | $30.90 | $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 $8.71 Median $17.78 Typical High $66.07 | Professional | 26 · Professional part | $8.71 | $17.78 | $66.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $41.69 Typical High $186.21 | Professional | TC · Technical part | $21.38 | $41.69 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $48.98 Typical High $61.66 | Professional | None (both parts) | $29.51 | $48.98 | $61.66 |
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 $21.38 Median $34.67 Typical High $42.66 | Professional | TC · Technical part | $21.38 | $34.67 | $42.66 |
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 $14.13 Median $15.49 Typical High $16.60 | Professional | 52 · Reduced service | $14.13 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.17 Typical High $6.76 | Professional | 53 · Discontinued | $5.62 | $6.17 | $6.76 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $67.61 Median $89.13 Typical High $104.71 | Professional | 22 · Increased work | $67.61 | $89.13 | $104.71 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $14.79 Typical High $17.38 | Professional | 55 · Aftercare only | $11.48 | $14.79 | $17.38 |
Where North Dakota sits
The same service costs 3.5 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· 7th of 51
$58.88
AK $87.10FL $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.