How much rates vary
Facilitymedian $155 · 10th to 90th $51 to $269Professionalmedian $91 · 10th to 90th $49 to $151
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 $51.29 Median $51.29 Typical High $281.84 | Facility | None | $51.29 | $51.29 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $53.70 Typical High $125.89 | Professional | None (both parts) | $44.67 | $53.70 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.80 Typical High $30.90 | Professional | 26 · Professional part | $11.75 | $13.80 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.90 Typical High $93.33 | Professional | TC · Technical part | $33.11 | $38.90 | $93.33 |
BCBS North Dakota Setting Facility Modifier None Typical Low $125.89 Median $162.18 Typical High $208.93 | Facility | None | $125.89 | $162.18 | $208.93 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $97.72 Median $125.89 Typical High $147.91 | Professional | None (both parts) | $97.72 | $125.89 | $147.91 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $34.67 | Professional | 26 · Professional part | $22.91 | $29.51 | $34.67 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $95.50 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $83.18 Typical High $131.83 | Professional | None (both parts) | $47.86 | $83.18 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $13.18 | $21.88 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $34.67 | $63.10 | $97.72 |
Medica Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $234.42 | Facility | None | $51.29 | $77.62 | $234.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $50.12 Median $91.20 Typical High $346.74 | Professional | None (both parts) | $50.12 | $91.20 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $31.62 Typical High $114.82 | Professional | 26 · Professional part | $14.13 | $31.62 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $63.10 Typical High $257.04 | Professional | TC · Technical part | $35.48 | $63.10 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $79.43 Typical High $109.65 | Professional | None (both parts) | $48.98 | $79.43 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $23.44 Typical High $31.62 | Professional | 26 · Professional part | $13.49 | $23.44 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $56.23 Typical High $74.13 | Professional | TC · Technical part | $35.48 | $56.23 | $74.13 |
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 $23.44 Median $25.70 Typical High $27.54 | Professional | 52 · Reduced service | $23.44 | $25.70 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $10.23 Typical High $11.22 | Professional | 53 · Discontinued | $9.33 | $10.23 | $11.22 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $117.49 Median $151.36 Typical High $177.83 | Professional | 22 · Increased work | $117.49 | $151.36 | $177.83 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $19.50 Median $25.12 Typical High $29.51 | Professional | 55 · Aftercare only | $19.50 | $25.12 | $29.51 |
Where North Dakota sits
The same service costs 4.8 times more in Alaska 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
$93.33
AK $158UT $33.11
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.