How much rates vary
Facilitymedian $437 · 10th to 90th $437 to $741Professionalmedian $776 · 10th to 90th $437 to $1,288
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 $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $436.52 Typical High $741.31 | Professional | None (both parts) | $389.05 | $436.52 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $100.00 | $107.15 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $331.13 Typical High $562.34 | Professional | TC · Technical part | $288.40 | $331.13 | $562.34 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $660.69 Median $851.14 Typical High $1,000.00 | Professional | None (both parts) | $660.69 | $851.14 | $1,000.00 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $223.87 Typical High $263.03 | Professional | 26 · Professional part | $173.78 | $223.87 | $263.03 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $630.96 Typical High $741.31 | Professional | TC · Technical part | $489.78 | $630.96 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $707.95 Typical High $1,047.13 | Professional | None (both parts) | $446.68 | $707.95 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $151.36 Typical High $251.19 | Professional | 26 · Professional part | $100.00 | $151.36 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $549.54 Typical High $812.83 | Professional | TC · Technical part | $323.59 | $549.54 | $812.83 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $2,570.40 | Facility | None | $436.52 | $436.52 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $436.52 Median $912.01 Typical High $3,715.35 | Professional | None (both parts) | $436.52 | $912.01 | $3,715.35 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $213.80 Typical High $630.96 | Professional | 26 · Professional part | $107.15 | $213.80 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $691.83 Typical High $3,235.94 | Professional | TC · Technical part | $331.13 | $691.83 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $436.52 Median $758.58 Typical High $1,000.00 | Professional | None (both parts) | $436.52 | $758.58 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $181.97 Typical High $245.47 | Professional | 26 · Professional part | $104.71 | $181.97 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $575.44 Typical High $776.25 | Professional | TC · Technical part | $331.13 | $575.44 | $776.25 |
3 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $794.33 Median $1,023.29 Typical High $1,202.26 | Professional | 22 · Increased work | $794.33 | $1,023.29 | $1,202.26 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,318.26 Median $1,698.24 Typical High $2,041.74 | Professional | 50 · Both sides | $1,318.26 | $1,698.24 | $2,041.74 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $169.82 Typical High $204.17 | Professional | 55 · Aftercare only | $131.83 | $169.82 | $204.17 |
Where North Dakota sits
The same service costs 6.2 times more in Wyoming than in Texas. 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
$759
WY $1,549TX $251
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.