How much rates vary
Facilitymedian $158 · 10th to 90th $68 to $275Professionalmedian $126 · 10th to 90th $65 to $195
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 $67.61 Median $72.44 Typical High $316.23 | Facility | None | $67.61 | $72.44 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $67.61 Typical High $162.18 | Professional | None (both parts) | $56.23 | $67.61 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $35.48 | Professional | 26 · Professional part | $13.49 | $16.22 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $51.29 Typical High $125.89 | Professional | TC · Technical part | $42.66 | $51.29 | $125.89 |
BCBS North Dakota Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $263.03 | Facility | None | $158.49 | $218.78 | $263.03 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $125.89 Median $162.18 Typical High $190.55 | Professional | None (both parts) | $125.89 | $162.18 | $190.55 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $33.88 | $39.81 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $100.00 | $128.82 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $107.15 Typical High $169.82 | Professional | None (both parts) | $63.10 | $107.15 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $22.39 Typical High $38.90 | Professional | 26 · Professional part | $14.45 | $22.39 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $85.11 Typical High $131.83 | Professional | TC · Technical part | $47.86 | $85.11 | $131.83 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $102.33 Typical High $239.88 | Facility | None | $67.61 | $102.33 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $64.57 Median $125.89 Typical High $457.09 | Professional | None (both parts) | $64.57 | $125.89 | $457.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $32.36 Typical High $95.50 | Professional | 26 · Professional part | $15.85 | $32.36 | $95.50 |
Medica Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $93.33 Typical High $354.81 | Professional | TC · Technical part | $48.98 | $93.33 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $107.15 Typical High $134.90 | Professional | None (both parts) | $64.57 | $107.15 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $25.70 Typical High $34.67 | Professional | 26 · Professional part | $15.85 | $25.70 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $81.28 Typical High $97.72 | Professional | TC · Technical part | $48.98 | $81.28 | $97.72 |
2 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $151.36 Median $194.98 Typical High $229.09 | Professional | 22 · Increased work | $151.36 | $194.98 | $229.09 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $32.36 Typical High $38.02 | Professional | 55 · Aftercare only | $25.12 | $32.36 | $38.02 |
Where North Dakota sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$126
AK $204FL $56.23
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.