How much rates vary
Facilitymedian $309 · 10th to 90th $309 to $2,399Professionalmedian $692 · 10th to 90th $407 to $1,202
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 $309.03 Median $309.03 Typical High $1,479.11 | Facility | None | $309.03 | $309.03 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $457.09 Typical High $794.33 | Professional | None (both parts) | $302.00 | $457.09 | $794.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $109.65 Typical High $194.98 | Professional | 26 · Professional part | $69.18 | $109.65 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $338.84 Typical High $616.60 | Professional | TC · Technical part | $234.42 | $338.84 | $616.60 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,174.90 Median $2,344.23 Typical High $2,818.38 | Facility | None | $1,174.90 | $2,344.23 | $2,818.38 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $588.84 Median $758.58 Typical High $891.25 | Professional | None (both parts) | $588.84 | $758.58 | $891.25 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $177.83 | Professional | 26 · Professional part | $117.49 | $151.36 | $177.83 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $602.56 Typical High $707.95 | Professional | TC · Technical part | $467.74 | $602.56 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $389.05 | $616.60 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $104.71 Typical High $173.78 | Professional | 26 · Professional part | $69.18 | $104.71 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $501.19 Typical High $741.31 | Professional | TC · Technical part | $309.03 | $501.19 | $741.31 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $2,884.03 | Facility | None | $309.03 | $309.03 | $2,884.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $416.87 Median $831.76 Typical High $3,090.30 | Professional | None (both parts) | $416.87 | $831.76 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $147.91 Typical High $676.08 | Professional | 26 · Professional part | $75.86 | $147.91 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $691.83 Typical High $2,691.53 | Professional | TC · Technical part | $363.08 | $691.83 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $691.83 Typical High $912.01 | Professional | None (both parts) | $407.38 | $691.83 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $125.89 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $562.34 Typical High $776.25 | Professional | TC · Technical part | $331.13 | $562.34 | $776.25 |
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 $151.36 Median $151.36 Typical High $245.47 | Professional | 52 · Reduced service | $151.36 | $151.36 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $61.66 Typical High $100.00 | Professional | 53 · Discontinued | $60.26 | $61.66 | $100.00 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $707.95 Median $912.01 Typical High $1,071.52 | Professional | 22 · Increased work | $707.95 | $912.01 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $151.36 Typical High $177.83 | Professional | 55 · Aftercare only | $117.49 | $151.36 | $177.83 |
Where North Dakota sits
The same service costs 6.3 times more in Wyoming 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
$692
WY $1,349UT $214
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.