How much rates vary
Facilitymedian $35 · 10th to 90th $35 to $282Professionalmedian $68 · 10th to 90th $35 to $107
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 $35.48 Median $35.48 Typical High $338.84 | Facility | None | $35.48 | $35.48 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $37.15 Typical High $89.13 | Professional | None (both parts) | $30.90 | $37.15 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.72 Typical High $21.88 | Professional | 26 · Professional part | $7.94 | $10.72 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $64.57 | Professional | TC · Technical part | $22.91 | $26.92 | $64.57 |
BCBS North Dakota Setting Facility Modifier None Typical Low $104.71 Median $144.54 Typical High $295.12 | Facility | None | $104.71 | $144.54 | $295.12 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $63.10 Median $81.28 Typical High $95.50 | Professional | None (both parts) | $63.10 | $81.28 | $95.50 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $23.44 | Professional | 26 · Professional part | $15.14 | $19.95 | $23.44 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $61.66 Typical High $72.44 | Professional | TC · Technical part | $47.86 | $61.66 | $72.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $54.95 Typical High $91.20 | Professional | None (both parts) | $32.36 | $54.95 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $15.85 Typical High $26.30 | Professional | 26 · Professional part | $8.71 | $15.85 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $41.69 Typical High $66.07 | Professional | TC · Technical part | $23.99 | $41.69 | $66.07 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $165.96 | Facility | None | $35.48 | $35.48 | $165.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $36.31 Median $72.44 Typical High $229.09 | Professional | None (both parts) | $36.31 | $72.44 | $229.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $25.70 Typical High $77.62 | Professional | 26 · Professional part | $10.47 | $25.70 | $77.62 |
Medica Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $46.77 Typical High $213.80 | Professional | TC · Technical part | $24.55 | $46.77 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $56.23 Typical High $75.86 | Professional | None (both parts) | $34.67 | $56.23 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.78 Typical High $25.70 | Professional | 26 · Professional part | $10.00 | $17.78 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $39.81 Typical High $48.98 | Professional | TC · Technical part | $24.55 | $39.81 | $48.98 |
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 $15.49 Median $17.78 Typical High $18.62 | Professional | 52 · Reduced service | $15.49 | $17.78 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $7.08 Typical High $7.41 | Professional | 53 · Discontinued | $6.31 | $7.08 | $7.41 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $75.86 Median $97.72 Typical High $114.82 | Professional | 22 · Increased work | $75.86 | $97.72 | $114.82 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.22 Typical High $19.05 | Professional | 55 · Aftercare only | $12.59 | $16.22 | $19.05 |
Where North Dakota sits
The same service costs 3.6 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· 6th of 51
$67.61
AK $105FL $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.