How much rates vary
Facilitymedian $1,622 · 10th to 90th $191 to $2,818Professionalmedian $562 · 10th to 90th $295 to $955
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 $1,318.26 Typical High $2,884.03 | Facility | None | $190.55 | $1,318.26 | $2,884.03 |
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 $64.57 Median $89.13 Typical High $204.17 | Professional | 26 · Professional part | $64.57 | $89.13 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $269.15 Typical High $512.86 | Professional | TC · Technical part | $125.89 | $269.15 | $512.86 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,318.26 Median $1,698.24 Typical High $2,041.74 | Facility | None | $1,318.26 | $1,698.24 | $2,041.74 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $489.78 Median $630.96 Typical High $758.58 | Professional | None (both parts) | $489.78 | $630.96 | $758.58 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $190.55 Typical High $223.87 | Professional | 26 · Professional part | $147.91 | $190.55 | $223.87 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $446.68 Typical High $524.81 | Professional | TC · Technical part | $346.74 | $446.68 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $524.81 Typical High $851.14 | Professional | None (both parts) | $323.59 | $524.81 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $131.83 Typical High $218.78 | Professional | 26 · Professional part | $85.11 | $131.83 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $389.05 Typical High $630.96 | Professional | TC · Technical part | $218.78 | $389.05 | $630.96 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $1,479.11 Typical High $2,691.53 | Facility | None | $190.55 | $1,479.11 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $602.56 Typical High $3,162.28 | Professional | None (both parts) | $309.03 | $602.56 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $181.97 Typical High $1,000.00 | Professional | 26 · Professional part | $100.00 | $181.97 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $416.87 Typical High $2,691.53 | Professional | TC · Technical part | $234.42 | $416.87 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $707.95 | Professional | None (both parts) | $309.03 | $512.86 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $93.33 | $151.36 | $208.93 |
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 $95.50 Median $128.82 Typical High $204.17 | Professional | 52 · Reduced service | $95.50 | $128.82 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $51.29 Typical High $81.28 | Professional | 53 · Discontinued | $38.02 | $51.29 | $81.28 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $588.84 Median $758.58 Typical High $891.25 | Professional | 22 · Increased work | $588.84 | $758.58 | $891.25 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $128.82 Typical High $151.36 | Professional | 55 · Aftercare only | $97.72 | $128.82 | $151.36 |
Where North Dakota sits
The same service costs 12.3 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· 8th of 51
$575
VT $2,089UT $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.