How much rates vary
Facilitymedian $45 · 10th to 90th $45 to $129Professionalmedian $85 · 10th to 90th $43 to $129
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 $44.67 Median $44.67 Typical High $77.62 | Facility | None | $44.67 | $44.67 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $109.65 | Professional | None (both parts) | $38.90 | $45.71 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.45 Typical High $34.67 | Professional | 26 · Professional part | $12.02 | $14.45 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $31.62 Typical High $75.86 | Professional | TC · Technical part | $26.92 | $31.62 | $75.86 |
BCBS North Dakota Setting Facility Modifier None Typical Low $117.49 Median $128.82 Typical High $144.54 | Facility | None | $117.49 | $128.82 | $144.54 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $77.62 | $100.00 | $117.49 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $34.67 | Professional | 26 · Professional part | $22.91 | $29.51 | $34.67 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $53.70 | $69.18 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $69.18 Typical High $114.82 | Professional | None (both parts) | $40.74 | $69.18 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $22.91 Typical High $38.90 | Professional | 26 · Professional part | $13.49 | $22.91 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $48.98 Typical High $75.86 | Professional | TC · Technical part | $27.54 | $48.98 | $75.86 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $131.83 | Facility | None | $44.67 | $44.67 | $131.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $44.67 Median $91.20 Typical High $316.23 | Professional | None (both parts) | $44.67 | $91.20 | $316.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $35.48 Typical High $107.15 | Professional | 26 · Professional part | $14.79 | $35.48 | $107.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $56.23 Typical High $295.12 | Professional | TC · Technical part | $29.51 | $56.23 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $70.79 Typical High $100.00 | Professional | None (both parts) | $42.66 | $70.79 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $25.70 Typical High $35.48 | Professional | 26 · Professional part | $14.13 | $25.70 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $46.77 Typical High $61.66 | Professional | TC · Technical part | $28.18 | $46.77 | $61.66 |
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 $19.50 Median $22.39 Typical High $26.30 | Professional | 52 · Reduced service | $19.50 | $22.39 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.91 Typical High $10.47 | Professional | 53 · Discontinued | $7.76 | $8.91 | $10.47 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $93.33 Median $120.23 Typical High $141.25 | Professional | 22 · Increased work | $93.33 | $120.23 | $141.25 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $19.95 Typical High $23.44 | Professional | 55 · Aftercare only | $15.49 | $19.95 | $23.44 |
Where North Dakota sits
The same service costs 4.0 times more in Alaska than in Utah. 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
$85.11
AK $132UT $33.11
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.