How much rates vary
Facilitymedian $19 · 10th to 90th $19 to $372Professionalmedian $37 · 10th to 90th $19 to $58
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 $19.05 Median $19.05 Typical High $426.58 | Facility | None | $19.05 | $19.05 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $15.85 Median $19.05 Typical High $38.90 | Professional | None (both parts) | $15.85 | $19.05 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.72 Typical High $16.22 | Professional | 26 · Professional part | $8.71 | $10.72 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $9.12 Typical High $21.38 | Professional | TC · Technical part | $6.92 | $9.12 | $21.38 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $33.88 Median $43.65 Typical High $51.29 | Professional | None (both parts) | $33.88 | $43.65 | $51.29 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $26.92 | Professional | 26 · Professional part | $17.78 | $22.91 | $26.92 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.38 Typical High $25.12 | Professional | TC · Technical part | $16.60 | $21.38 | $25.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $34.67 Typical High $50.12 | Professional | None (both parts) | $16.98 | $34.67 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.49 Typical High $25.70 | Professional | 26 · Professional part | $9.33 | $15.49 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $15.85 Typical High $25.12 | Professional | TC · Technical part | $7.59 | $15.85 | $25.12 |
Medica Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $199.53 | Facility | None | $19.05 | $19.05 | $199.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $19.50 Median $41.69 Typical High $208.93 | Professional | None (both parts) | $19.50 | $41.69 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $22.39 Typical High $104.71 | Professional | 26 · Professional part | $10.47 | $22.39 | $104.71 |
Medica Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $19.05 Typical High $128.82 | Professional | TC · Technical part | $8.71 | $19.05 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $18.62 Median $31.62 Typical High $42.66 | Professional | None (both parts) | $18.62 | $31.62 | $42.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $16.98 Typical High $22.91 | Professional | 26 · Professional part | $10.23 | $16.98 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $15.14 Typical High $19.50 | Professional | TC · Technical part | $8.32 | $15.14 | $19.50 |
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 $7.76 Median $9.55 Typical High $10.96 | Professional | 52 · Reduced service | $7.76 | $9.55 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.80 Typical High $4.37 | Professional | 53 · Discontinued | $3.16 | $3.80 | $4.37 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $40.74 Median $52.48 Typical High $61.66 | Professional | 22 · Increased work | $40.74 | $52.48 | $61.66 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $8.71 Typical High $10.47 | Professional | 55 · Aftercare only | $6.76 | $8.71 | $10.47 |
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· 8th of 51
$37.15
AK $56.23FL $15.49
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.