How much rates vary
Facilitymedian $33 · 10th to 90th $33 to $117Professionalmedian $59 · 10th to 90th $32 to $93
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 $33.11 Median $33.11 Typical High $33.88 | Facility | None | $33.11 | $33.11 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $79.43 | Professional | None (both parts) | $28.18 | $33.11 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.23 Typical High $22.39 | Professional | 26 · Professional part | $8.51 | $10.23 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.91 Typical High $57.54 | Professional | TC · Technical part | $19.95 | $22.91 | $57.54 |
BCBS North Dakota Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $117.49 | Facility | None | $72.44 | $100.00 | $117.49 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $57.54 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $57.54 | $75.86 | $89.13 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $25.12 | Professional | 26 · Professional part | $16.60 | $21.38 | $25.12 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $63.10 | Professional | TC · Technical part | $41.69 | $53.70 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $51.29 Typical High $81.28 | Professional | None (both parts) | $30.20 | $51.29 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $8.91 | $13.80 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $21.38 | $37.15 | $57.54 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $169.82 | Facility | None | $33.11 | $33.11 | $169.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $32.36 Median $58.88 Typical High $218.78 | Professional | None (both parts) | $32.36 | $58.88 | $218.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $20.42 Typical High $72.44 | Professional | 26 · Professional part | $10.00 | $20.42 | $72.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $38.02 Typical High $199.53 | Professional | TC · Technical part | $21.38 | $38.02 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $51.29 Typical High $69.18 | Professional | None (both parts) | $31.62 | $51.29 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.22 Typical High $21.88 | Professional | 26 · Professional part | $10.00 | $16.22 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $34.67 Typical High $45.71 | Professional | TC · Technical part | $21.38 | $34.67 | $45.71 |
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 $14.45 Median $16.60 Typical High $17.38 | Professional | 52 · Reduced service | $14.45 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.61 Typical High $7.08 | Professional | 53 · Discontinued | $5.75 | $6.61 | $7.08 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $69.18 Median $91.20 Typical High $107.15 | Professional | 22 · Increased work | $69.18 | $91.20 | $107.15 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.14 Typical High $17.78 | Professional | 55 · Aftercare only | $11.75 | $15.14 | $17.78 |
Where North Dakota sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 9th of 51
$58.88
AK $95.50FL $26.92
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.