How much rates vary
Facilitymedian $891 · 10th to 90th $98 to $1,698Professionalmedian $263 · 10th to 90th $141 to $513
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 $97.72 Median $1,148.15 Typical High $2,089.30 | Facility | None | $97.72 | $1,148.15 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $97.72 | $208.93 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $52.48 Typical High $104.71 | Professional | 26 · Professional part | $30.20 | $52.48 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $147.91 Typical High $295.12 | Professional | TC · Technical part | $67.61 | $147.91 | $295.12 |
BCBS North Dakota Setting Facility Modifier None Typical Low $616.60 Median $794.33 Typical High $954.99 | Facility | None | $616.60 | $794.33 | $954.99 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $223.87 | $288.40 | $346.74 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $107.15 | Professional | 26 · Professional part | $69.18 | $91.20 | $107.15 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $234.42 | Professional | TC · Technical part | $154.88 | $199.53 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $251.19 Typical High $407.38 | Professional | None (both parts) | $151.36 | $251.19 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $40.74 | $66.07 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $173.78 Typical High $288.40 | Professional | TC · Technical part | $100.00 | $173.78 | $288.40 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $1,071.52 Typical High $1,479.11 | Facility | None | $97.72 | $1,071.52 | $1,479.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $281.84 Typical High $1,412.54 | Professional | None (both parts) | $154.88 | $281.84 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $85.11 Typical High $331.13 | Professional | 26 · Professional part | $51.29 | $85.11 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $194.98 Typical High $1,230.27 | Professional | TC · Technical part | $107.15 | $194.98 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $141.25 | $234.42 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $72.44 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $169.82 Typical High $257.04 | Professional | TC · Technical part | $97.72 | $169.82 | $257.04 |
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 $48.98 Median $61.66 Typical High $120.23 | Professional | 52 · Reduced service | $48.98 | $61.66 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $24.55 Typical High $47.86 | Professional | 53 · Discontinued | $19.50 | $24.55 | $47.86 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $269.15 Median $346.74 Typical High $407.38 | Professional | 22 · Increased work | $269.15 | $346.74 | $407.38 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $58.88 Typical High $69.18 | Professional | 55 · Aftercare only | $44.67 | $58.88 | $69.18 |
Where North Dakota sits
The same service costs 4.9 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
$282
AK $513UT $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.