How much rates vary
Facilitymedian $1,514 · 10th to 90th $191 to $2,754Professionalmedian $550 · 10th to 90th $302 to $1,047
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 $190.55 Median $1,023.29 Typical High $2,570.40 | Facility | None | $190.55 | $1,023.29 | $2,570.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $389.05 Typical High $676.08 | Professional | None (both parts) | $190.55 | $389.05 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $199.53 | Professional | 26 · Professional part | $61.66 | $89.13 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $269.15 Typical High $524.81 | Professional | TC · Technical part | $125.89 | $269.15 | $524.81 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,288.25 Median $1,698.24 Typical High $2,884.03 | Facility | None | $1,288.25 | $1,698.24 | $2,884.03 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $478.63 Median $616.60 Typical High $724.44 | Professional | None (both parts) | $478.63 | $616.60 | $724.44 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $181.97 | $213.80 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $436.52 Typical High $512.86 | Professional | TC · Technical part | $338.84 | $436.52 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $537.03 Typical High $812.83 | Professional | None (both parts) | $316.23 | $537.03 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $123.03 Typical High $208.93 | Professional | 26 · Professional part | $83.18 | $123.03 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $389.05 Typical High $616.60 | Professional | TC · Technical part | $218.78 | $389.05 | $616.60 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $1,737.80 Typical High $2,754.23 | Facility | None | $190.55 | $1,737.80 | $2,754.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $302.00 Median $588.84 Typical High $3,235.94 | Professional | None (both parts) | $302.00 | $588.84 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $177.83 Typical High $870.96 | Professional | 26 · Professional part | $89.13 | $177.83 | $870.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $416.87 Typical High $2,754.23 | Professional | TC · Technical part | $213.80 | $416.87 | $2,754.23 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $302.00 | $501.19 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $147.91 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $147.91 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $371.54 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $371.54 | $562.34 |
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 $93.33 Median $125.89 Typical High $204.17 | Professional | 52 · Reduced service | $93.33 | $125.89 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $50.12 Typical High $81.28 | Professional | 53 · Discontinued | $38.02 | $50.12 | $81.28 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $575.44 Median $741.31 Typical High $870.96 | Professional | 22 · Increased work | $575.44 | $741.31 | $870.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $125.89 Typical High $147.91 | Professional | 55 · Aftercare only | $95.50 | $125.89 | $147.91 |
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· 8th of 51
$562
AK $1,000UT $170
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.