How much rates vary
Facilitymedian $44 · 10th to 90th $44 to $65Professionalmedian $78 · 10th to 90th $42 to $132
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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $44.67 Typical High $109.65 | Professional | None (both parts) | $40.74 | $44.67 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.30 Typical High $30.20 | Professional | 26 · Professional part | $9.33 | $12.30 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.11 Typical High $81.28 | Professional | TC · Technical part | $30.20 | $33.11 | $81.28 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $117.49 | Professional | None (both parts) | $77.62 | $100.00 | $117.49 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $25.70 | $30.20 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $57.54 | $74.13 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $67.61 Typical High $107.15 | Professional | None (both parts) | $39.81 | $67.61 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $17.38 Typical High $28.18 | Professional | 26 · Professional part | $10.72 | $17.38 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $51.29 Typical High $79.43 | Professional | TC · Technical part | $28.84 | $51.29 | $79.43 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $128.82 | Facility | None | $43.65 | $43.65 | $128.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $42.66 Median $77.62 Typical High $288.40 | Professional | None (both parts) | $42.66 | $77.62 | $288.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $21.88 Typical High $107.15 | Professional | 26 · Professional part | $12.02 | $21.88 | $107.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $56.23 Typical High $269.15 | Professional | TC · Technical part | $30.20 | $56.23 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $67.61 Typical High $93.33 | Professional | None (both parts) | $41.69 | $67.61 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $19.50 Typical High $25.70 | Professional | 26 · Professional part | $12.02 | $19.50 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $47.86 Typical High $67.61 | Professional | TC · Technical part | $29.51 | $47.86 | $67.61 |
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 $19.50 Median $21.88 Typical High $22.91 | Professional | 52 · Reduced service | $19.50 | $21.88 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.71 Typical High $9.33 | Professional | 53 · Discontinued | $7.76 | $8.71 | $9.33 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $93.33 Median $120.23 Typical High $141.25 | Professional | 22 · Increased work | $93.33 | $120.23 | $141.25 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $19.95 Typical High $23.44 | Professional | 55 · Aftercare only | $15.49 | $19.95 | $23.44 |
Where North Dakota sits
The same service costs 3.9 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· 9th of 51
$77.62
AK $129UT $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.