How much rates vary
Facilitymedian $145 · 10th to 90th $145 to $977Professionalmedian $380 · 10th to 90th $209 to $794
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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $602.56 | Professional | None (both parts) | $144.54 | $245.47 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $61.66 Typical High $165.96 | Professional | 26 · Professional part | $44.67 | $61.66 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $165.96 Typical High $416.87 | Professional | TC · Technical part | $100.00 | $165.96 | $416.87 |
BCBS North Dakota Setting Facility Modifier None Typical Low $138.04 Median $977.24 Typical High $1,071.52 | Facility | None | $138.04 | $977.24 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $489.78 | Professional | None (both parts) | $323.59 | $416.87 | $489.78 |
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 $218.78 Median $288.40 Typical High $338.84 | Professional | TC · Technical part | $218.78 | $288.40 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $354.81 Typical High $602.56 | Professional | None (both parts) | $218.78 | $354.81 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $97.72 Typical High $154.88 | Professional | 26 · Professional part | $60.26 | $97.72 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $245.47 Typical High $436.52 | Professional | TC · Technical part | $144.54 | $245.47 | $436.52 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $2,511.89 | Facility | None | $144.54 | $144.54 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $407.38 Typical High $2,089.30 | Professional | None (both parts) | $223.87 | $407.38 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $128.82 Typical High $457.09 | Professional | 26 · Professional part | $64.57 | $128.82 | $457.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $281.84 Typical High $1,698.24 | Professional | TC · Technical part | $154.88 | $281.84 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $346.74 Typical High $489.78 | Professional | None (both parts) | $208.93 | $346.74 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $107.15 Typical High $154.88 | Professional | 26 · Professional part | $64.57 | $107.15 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $245.47 Typical High $371.54 | Professional | TC · Technical part | $141.25 | $245.47 | $371.54 |
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 $72.44 Median $89.13 Typical High $173.78 | Professional | 52 · Reduced service | $72.44 | $89.13 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $35.48 Typical High $69.18 | Professional | 53 · Discontinued | $28.84 | $35.48 | $69.18 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $389.05 Median $501.19 Typical High $588.84 | Professional | 22 · Increased work | $389.05 | $501.19 | $588.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $83.18 Typical High $97.72 | Professional | 55 · Aftercare only | $64.57 | $83.18 | $97.72 |
Where North Dakota sits
The same service costs 5.1 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· 13th of 51
$380
AK $676UT $132
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.