How much rates vary
Facilitymedian $1,096 · 10th to 90th $138 to $1,905Professionalmedian $347 · 10th to 90th $191 to $692
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 $138.04 Median $933.25 Typical High $1,995.26 | Facility | None | $138.04 | $933.25 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $138.04 | $281.84 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $138.04 | Professional | 26 · Professional part | $43.65 | $63.10 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $204.17 Typical High $380.19 | Professional | TC · Technical part | $95.50 | $204.17 | $380.19 |
BCBS North Dakota Setting Facility Modifier None Typical Low $891.25 Median $1,096.48 Typical High $1,445.44 | Facility | None | $891.25 | $1,096.48 | $1,445.44 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $295.12 | $380.19 | $446.68 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $95.50 | $123.03 | $144.54 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $302.00 | Professional | TC · Technical part | $199.53 | $257.04 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $323.59 Typical High $549.54 | Professional | None (both parts) | $194.98 | $323.59 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $85.11 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $223.87 Typical High $398.11 | Professional | TC · Technical part | $131.83 | $223.87 | $398.11 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $1,318.26 Typical High $2,089.30 | Facility | None | $138.04 | $1,318.26 | $2,089.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $467.74 Typical High $1,905.46 | Professional | None (both parts) | $199.53 | $467.74 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $125.89 Typical High $446.68 | Professional | 26 · Professional part | $64.57 | $125.89 | $446.68 |
Medica Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $338.84 Typical High $1,584.89 | Professional | TC · Technical part | $162.18 | $338.84 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $199.53 | $346.74 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $104.71 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $104.71 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $234.42 Typical High $346.74 | Professional | TC · Technical part | $134.90 | $234.42 | $346.74 |
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 $69.18 Median $81.28 Typical High $162.18 | Professional | 52 · Reduced service | $69.18 | $81.28 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $32.36 Typical High $64.57 | Professional | 53 · Discontinued | $27.54 | $32.36 | $64.57 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $354.81 Median $457.09 Typical High $537.03 | Professional | 22 · Increased work | $354.81 | $457.09 | $537.03 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $75.86 Typical High $89.13 | Professional | 55 · Aftercare only | $58.88 | $75.86 | $89.13 |
Where North Dakota sits
The same service costs 5.9 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
$389
VT $741UT $126
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.