How much rates vary
Facilitymedian $955 · 10th to 90th $135 to $1,862Professionalmedian $355 · 10th to 90th $195 to $676
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 $134.90 Median $134.90 Typical High $1,862.09 | Facility | None | $134.90 | $134.90 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $134.90 | $275.42 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $144.54 | Professional | 26 · Professional part | $44.67 | $64.57 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $181.97 Typical High $380.19 | Professional | TC · Technical part | $91.20 | $181.97 | $380.19 |
BCBS North Dakota Setting Facility Modifier None Typical Low $954.99 Median $1,000.00 Typical High $1,318.26 | Facility | None | $954.99 | $1,000.00 | $1,318.26 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $467.74 | Professional | None (both parts) | $302.00 | $389.05 | $467.74 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $102.33 | $131.83 | $154.88 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $309.03 | Professional | TC · Technical part | $199.53 | $263.03 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $204.17 | $338.84 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $151.36 | Professional | 26 · Professional part | $60.26 | $91.20 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $223.87 Typical High $380.19 | Professional | TC · Technical part | $134.90 | $223.87 | $380.19 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $257.04 Typical High $1,479.11 | Facility | None | $134.90 | $257.04 | $1,479.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $389.05 Typical High $1,905.46 | Professional | None (both parts) | $213.80 | $389.05 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $128.82 Typical High $436.52 | Professional | 26 · Professional part | $64.57 | $128.82 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $257.04 Typical High $1,584.89 | Professional | TC · Technical part | $141.25 | $257.04 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $323.59 Typical High $416.87 | Professional | None (both parts) | $194.98 | $323.59 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $107.15 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $223.87 Typical High $302.00 | Professional | TC · Technical part | $128.82 | $223.87 | $302.00 |
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 $67.61 Median $83.18 Typical High $162.18 | Professional | 52 · Reduced service | $67.61 | $83.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $33.88 Typical High $64.57 | Professional | 53 · Discontinued | $26.92 | $33.88 | $64.57 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $363.08 Median $467.74 Typical High $549.54 | Professional | 22 · Increased work | $363.08 | $467.74 | $549.54 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $79.43 Typical High $93.33 | Professional | 55 · Aftercare only | $60.26 | $79.43 | $93.33 |
Where North Dakota sits
The same service costs 5.6 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· 8th of 51
$355
AK $708UT $126
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.