How much rates vary
Facilitymedian $832 · 10th to 90th $117 to $1,549Professionalmedian $316 · 10th to 90th $170 to $617
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 $117.49 Median $117.49 Typical High $1,659.59 | Facility | None | $117.49 | $117.49 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $251.19 Typical High $489.78 | Professional | None (both parts) | $117.49 | $251.19 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $138.04 | Professional | 26 · Professional part | $39.81 | $61.66 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $177.83 Typical High $354.81 | Professional | TC · Technical part | $77.62 | $177.83 | $354.81 |
BCBS North Dakota Setting Facility Modifier None Typical Low $831.76 Median $891.25 Typical High $1,096.48 | Facility | None | $831.76 | $891.25 | $1,096.48 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $269.15 Median $346.74 Typical High $407.38 | Professional | None (both parts) | $269.15 | $346.74 | $407.38 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $91.20 | $117.49 | $138.04 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $269.15 | Professional | TC · Technical part | $173.78 | $223.87 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $295.12 Typical High $489.78 | Professional | None (both parts) | $177.83 | $295.12 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $53.70 | $87.10 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $194.98 Typical High $354.81 | Professional | TC · Technical part | $114.82 | $194.98 | $354.81 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $1,698.24 | Facility | None | $117.49 | $223.87 | $1,698.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $338.84 Typical High $1,698.24 | Professional | None (both parts) | $186.21 | $338.84 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $114.82 Typical High $389.05 | Professional | 26 · Professional part | $57.54 | $114.82 | $389.05 |
Medica Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $223.87 Typical High $2,041.74 | Professional | TC · Technical part | $123.03 | $223.87 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $169.82 | $281.84 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $57.54 | $95.50 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $112.20 | $190.55 | $295.12 |
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 $58.88 Median $74.13 Typical High $144.54 | Professional | 52 · Reduced service | $58.88 | $74.13 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $29.51 Typical High $57.54 | Professional | 53 · Discontinued | $23.44 | $29.51 | $57.54 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $323.59 Median $416.87 Typical High $489.78 | Professional | 22 · Increased work | $323.59 | $416.87 | $489.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | 55 · Aftercare only | $53.70 | $69.18 | $81.28 |
Where North Dakota sits
The same service costs 5.9 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· 11th of 51
$316
AK $617UT $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.