How much rates vary
Facilitymedian $977 · 10th to 90th $112 to $1,995Professionalmedian $282 · 10th to 90th $151 to $550
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 $112.20 Median $1,202.26 Typical High $2,041.74 | Facility | None | $112.20 | $1,202.26 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $112.20 | $223.87 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $128.82 | Professional | 26 · Professional part | $40.74 | $52.48 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $147.91 Typical High $295.12 | Professional | TC · Technical part | $70.79 | $147.91 | $295.12 |
BCBS North Dakota Setting Facility Modifier None Typical Low $676.08 Median $912.01 Typical High $1,174.90 | Facility | None | $676.08 | $912.01 | $1,174.90 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $354.81 | Professional | None (both parts) | $234.42 | $302.00 | $354.81 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $112.20 | $131.83 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $190.55 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $158.49 | $257.04 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $51.29 | $77.62 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $97.72 | $162.18 | $288.40 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $1,202.26 Typical High $1,621.81 | Facility | None | $112.20 | $1,202.26 | $1,621.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $363.08 Typical High $1,621.81 | Professional | None (both parts) | $162.18 | $363.08 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $107.15 Typical High $398.11 | Professional | 26 · Professional part | $58.88 | $107.15 | $398.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $263.03 Typical High $1,380.38 | Professional | TC · Technical part | $123.03 | $263.03 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $275.42 Typical High $363.08 | Professional | None (both parts) | $162.18 | $275.42 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $95.50 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $95.50 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $275.42 | Professional | TC · Technical part | $102.33 | $181.97 | $275.42 |
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 $56.23 Median $64.57 Typical High $134.90 | Professional | 52 · Reduced service | $56.23 | $64.57 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.70 Typical High $53.70 | Professional | 53 · Discontinued | $22.39 | $25.70 | $53.70 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $281.84 Median $363.08 Typical High $426.58 | Professional | 22 · Increased work | $281.84 | $363.08 | $426.58 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $60.26 Typical High $70.79 | Professional | 55 · Aftercare only | $46.77 | $60.26 | $70.79 |
Where North Dakota sits
The same service costs 6.2 times more in Vermont 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· 7th of 51
$309
VT $617UT $100
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.