How much rates vary
Facilitymedian $52 · 10th to 90th $52 to $117Professionalmedian $95 · 10th to 90th $50 to $148
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 $52.48 Median $52.48 Typical High $117.49 | Facility | None | $52.48 | $52.48 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $52.48 Typical High $123.03 | Professional | None (both parts) | $43.65 | $52.48 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.59 Typical High $26.92 | Professional | 26 · Professional part | $10.23 | $12.59 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $93.33 | Professional | TC · Technical part | $33.11 | $39.81 | $93.33 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $144.54 | Professional | None (both parts) | $93.33 | $120.23 | $144.54 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $25.70 | $30.20 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $95.50 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $81.28 Typical High $128.82 | Professional | None (both parts) | $46.77 | $81.28 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $17.78 Typical High $28.84 | Professional | 26 · Professional part | $10.96 | $17.78 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $35.48 | $64.57 | $100.00 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $154.88 | Facility | None | $52.48 | $52.48 | $154.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $50.12 Median $97.72 Typical High $346.74 | Professional | None (both parts) | $50.12 | $97.72 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $25.70 Typical High $141.25 | Professional | 26 · Professional part | $12.02 | $25.70 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $70.79 Typical High $275.42 | Professional | TC · Technical part | $38.02 | $70.79 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $81.28 Typical High $97.72 | Professional | None (both parts) | $50.12 | $81.28 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $19.50 Typical High $26.92 | Professional | 26 · Professional part | $12.02 | $19.50 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $61.66 Typical High $72.44 | Professional | TC · Technical part | $38.02 | $61.66 | $72.44 |
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 $21.88 Median $25.70 Typical High $27.54 | Professional | 52 · Reduced service | $21.88 | $25.70 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $10.47 Typical High $10.96 | Professional | 53 · Discontinued | $8.71 | $10.47 | $10.96 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $112.20 Median $144.54 Typical High $169.82 | Professional | 22 · Increased work | $112.20 | $144.54 | $169.82 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $24.55 Typical High $28.84 | Professional | 55 · Aftercare only | $18.62 | $24.55 | $28.84 |
Where North Dakota sits
The same service costs 4.5 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· 9th of 51
$93.33
AK $148UT $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.