How much rates vary
Facilitymedian $107 · 10th to 90th $107 to $162Professionalmedian $195 · 10th to 90th $105 to $316
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $114.82 | Professional | None (both parts) | $85.11 | $107.15 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $43.65 | Professional | 26 · Professional part | $35.48 | $41.69 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $72.44 | Professional | TC · Technical part | $48.98 | $66.07 | $72.44 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $194.98 | $251.19 | $295.12 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $109.65 | Professional | 26 · Professional part | $72.44 | $93.33 | $109.65 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $186.21 | Professional | TC · Technical part | $123.03 | $158.49 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $169.82 Typical High $269.15 | Professional | None (both parts) | $100.00 | $169.82 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $63.10 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $109.65 Typical High $165.96 | Professional | TC · Technical part | $57.54 | $109.65 | $165.96 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $323.59 | Facility | None | $107.15 | $107.15 | $323.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $181.97 Typical High $676.08 | Professional | None (both parts) | $104.71 | $181.97 | $676.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $83.18 Typical High $281.84 | Professional | 26 · Professional part | $41.69 | $83.18 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $467.74 | Professional | TC · Technical part | $63.10 | $97.72 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $104.71 | $162.18 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $41.69 | $67.61 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $120.23 | Professional | TC · Technical part | $63.10 | $91.20 | $120.23 |
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 $43.65 Median $53.70 Typical High $57.54 | Professional | 52 · Reduced service | $43.65 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.38 Typical High $22.91 | Professional | 53 · Discontinued | $17.38 | $21.38 | $22.91 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $234.42 Median $302.00 Typical High $354.81 | Professional | 22 · Increased work | $234.42 | $302.00 | $354.81 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $50.12 Typical High $58.88 | Professional | 55 · Aftercare only | $38.90 | $50.12 | $58.88 |
Where North Dakota sits
The same service costs 4.4 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
$186
AK $324UT $74.13
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.