How much rates vary
Facilitymedian $324 · 10th to 90th $174 to $1,950Professionalmedian $447 · 10th to 90th $251 to $851
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 $173.78 Median $173.78 Typical High $3,467.37 | Facility | None | $173.78 | $173.78 | $3,467.37 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $295.12 Typical High $575.44 | Professional | None (both parts) | $173.78 | $295.12 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $181.97 | Professional | 26 · Professional part | $57.54 | $75.86 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $114.82 | $213.80 | $416.87 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,096.48 Median $1,318.26 Typical High $1,621.81 | Facility | None | $1,096.48 | $1,318.26 | $1,621.81 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $588.84 | Professional | None (both parts) | $389.05 | $501.19 | $588.84 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $165.96 Typical High $199.53 | Professional | 26 · Professional part | $128.82 | $165.96 | $199.53 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $331.13 Typical High $389.05 | Professional | TC · Technical part | $257.04 | $331.13 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $257.04 | $416.87 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $69.18 | $114.82 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $288.40 Typical High $446.68 | Professional | TC · Technical part | $169.82 | $288.40 | $446.68 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $2,511.89 | Facility | None | $173.78 | $173.78 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $562.34 Typical High $2,041.74 | Professional | None (both parts) | $275.42 | $562.34 | $2,041.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $147.91 Typical High $489.78 | Professional | 26 · Professional part | $83.18 | $147.91 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $416.87 Typical High $1,995.26 | Professional | TC · Technical part | $199.53 | $416.87 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $426.58 Typical High $562.34 | Professional | None (both parts) | $251.19 | $426.58 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $134.90 Typical High $165.96 | Professional | 26 · Professional part | $77.62 | $134.90 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $288.40 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $288.40 | $416.87 |
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 $87.10 Median $107.15 Typical High $173.78 | Professional | 52 · Reduced service | $87.10 | $107.15 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $42.66 Typical High $69.18 | Professional | 53 · Discontinued | $34.67 | $42.66 | $69.18 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $467.74 Median $602.56 Typical High $707.95 | Professional | 22 · Increased work | $467.74 | $602.56 | $707.95 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $100.00 Typical High $117.49 | Professional | 55 · Aftercare only | $77.62 | $100.00 | $117.49 |
Where North Dakota sits
The same service costs 6.3 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· 8th of 51
$447
AK $851UT $135
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.