How much rates vary
Facilitymedian $871 · 10th to 90th $123 to $1,413Professionalmedian $347 · 10th to 90th $195 to $661
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $123.03 Median $346.74 Typical High $1,380.38 | Facility | None | $123.03 | $346.74 | $1,380.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $239.88 Typical High $446.68 | Professional | None (both parts) | $123.03 | $239.88 | $446.68 |
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 $77.62 Median $177.83 Typical High $309.03 | Professional | TC · Technical part | $77.62 | $177.83 | $309.03 |
BCBS North Dakota Setting Facility Modifier None Typical Low $851.14 Median $1,047.13 Typical High $1,412.54 | Facility | None | $851.14 | $1,047.13 | $1,412.54 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $275.42 Median $363.08 Typical High $426.58 | Professional | None (both parts) | $275.42 | $363.08 | $426.58 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $134.90 | $158.49 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $263.03 | Professional | TC · Technical part | $173.78 | $223.87 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $309.03 Typical High $446.68 | Professional | None (both parts) | $194.98 | $309.03 | $446.68 |
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 $138.04 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $138.04 | $194.98 | $316.23 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $208.93 Typical High $1,412.54 | Facility | None | $123.03 | $208.93 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $467.74 Typical High $1,659.59 | Professional | None (both parts) | $208.93 | $467.74 | $1,659.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $128.82 Typical High $524.81 | Professional | 26 · Professional part | $64.57 | $128.82 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $338.84 Typical High $1,318.26 | Professional | TC · Technical part | $154.88 | $338.84 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $204.17 | $354.81 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $63.10 | $107.15 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $239.88 Typical High $354.81 | Professional | TC · Technical part | $138.04 | $239.88 | $354.81 |
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 $61.66 Median $77.62 Typical High $128.82 | Professional | 52 · Reduced service | $61.66 | $77.62 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.90 Typical High $51.29 | Professional | 53 · Discontinued | $24.55 | $30.90 | $51.29 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $331.13 Median $436.52 Typical High $512.86 | Professional | 22 · Increased work | $331.13 | $436.52 | $512.86 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $56.23 Median $72.44 Typical High $85.11 | Professional | 55 · Aftercare only | $56.23 | $72.44 | $85.11 |
Where North Dakota sits
The same service costs 6.2 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· 7th of 51
$355
AK $646UT $105
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.