How much rates vary
Facilitymedian $631 · 10th to 90th $115 to $1,259Professionalmedian $309 · 10th to 90th $166 to $589
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 $114.82 Median $114.82 Typical High $1,348.96 | Facility | None | $114.82 | $114.82 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $234.42 Typical High $426.58 | Professional | None (both parts) | $114.82 | $234.42 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $144.54 | Professional | 26 · Professional part | $45.71 | $64.57 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $162.18 Typical High $309.03 | Professional | TC · Technical part | $70.79 | $162.18 | $309.03 |
BCBS North Dakota Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $1,148.15 | Facility | None | $630.96 | $831.76 | $1,148.15 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $263.03 | $338.84 | $398.11 |
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 $158.49 Median $204.17 Typical High $239.88 | Professional | TC · Technical part | $158.49 | $204.17 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $177.83 | $288.40 | $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 $104.71 Median $177.83 Typical High $295.12 | Professional | TC · Technical part | $104.71 | $177.83 | $295.12 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $199.53 Typical High $1,905.46 | Facility | None | $114.82 | $199.53 | $1,905.46 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $389.05 Typical High $1,412.54 | Professional | None (both parts) | $190.55 | $389.05 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $128.82 Typical High $389.05 | Professional | 26 · Professional part | $66.07 | $128.82 | $389.05 |
Medica Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $257.04 Typical High $1,318.26 | Professional | TC · Technical part | $123.03 | $257.04 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $288.40 Typical High $389.05 | Professional | None (both parts) | $165.96 | $288.40 | $389.05 |
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 $102.33 Median $177.83 Typical High $263.03 | Professional | TC · Technical part | $102.33 | $177.83 | $263.03 |
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 $57.54 Median $72.44 Typical High $123.03 | Professional | 52 · Reduced service | $57.54 | $72.44 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $28.84 Typical High $48.98 | Professional | 53 · Discontinued | $23.44 | $28.84 | $48.98 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $316.23 Median $407.38 Typical High $478.63 | Professional | 22 · Increased work | $316.23 | $407.38 | $478.63 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $67.61 Typical High $79.43 | Professional | 55 · Aftercare only | $52.48 | $67.61 | $79.43 |
Where North Dakota sits
The same service costs 5.8 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· 6th of 51
$309
AK $603UT $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.