How much rates vary
Facilitymedian $447 · 10th to 90th $447 to $759Professionalmedian $776 · 10th to 90th $447 to $1,349
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 $446.68 Median $446.68 Typical High $446.68 | Facility | None | $446.68 | $446.68 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $446.68 Typical High $870.96 | Professional | None (both parts) | $389.05 | $446.68 | $870.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $87.10 Typical High $194.98 | Professional | 26 · Professional part | $81.28 | $87.10 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $354.81 Typical High $691.83 | Professional | TC · Technical part | $309.03 | $354.81 | $691.83 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $660.69 Median $851.14 Typical High $1,000.00 | Professional | None (both parts) | $660.69 | $851.14 | $1,000.00 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $181.97 | $213.80 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $660.69 Typical High $776.25 | Professional | TC · Technical part | $512.86 | $660.69 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $707.95 Typical High $1,047.13 | Professional | None (both parts) | $436.52 | $707.95 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $123.03 Typical High $204.17 | Professional | 26 · Professional part | $81.28 | $123.03 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $575.44 Typical High $891.25 | Professional | TC · Technical part | $338.84 | $575.44 | $891.25 |
Medica Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $3,630.78 | Facility | None | $446.68 | $446.68 | $3,630.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $467.74 Median $933.25 Typical High $3,467.37 | Professional | None (both parts) | $467.74 | $933.25 | $3,467.37 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $173.78 Typical High $776.25 | Professional | 26 · Professional part | $89.13 | $173.78 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $758.58 Typical High $3,019.95 | Professional | TC · Technical part | $398.11 | $758.58 | $3,019.95 |
United Setting Professional Modifier None (both parts) Typical Low $446.68 Median $776.25 Typical High $1,000.00 | Professional | None (both parts) | $446.68 | $776.25 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $147.91 Typical High $199.53 | Professional | 26 · Professional part | $85.11 | $147.91 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $616.60 Typical High $831.76 | Professional | TC · Technical part | $354.81 | $616.60 | $831.76 |
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 $194.98 Median $218.78 Typical High $331.13 | Professional | 52 · Reduced service | $194.98 | $218.78 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $89.13 Typical High $131.83 | Professional | 53 · Discontinued | $77.62 | $89.13 | $131.83 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $776.25 Median $1,023.29 Typical High $1,202.26 | Professional | 22 · Increased work | $776.25 | $1,023.29 | $1,202.26 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $169.82 Typical High $199.53 | Professional | 55 · Aftercare only | $131.83 | $169.82 | $199.53 |
Where North Dakota sits
The same service costs 5.5 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· 9th of 51
$776
WY $1,514UT $275
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.