How much rates vary
Facilitymedian $162 · 10th to 90th $162 to $1,479Professionalmedian $427 · 10th to 90th $234 to $832
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 $162.18 Median $162.18 Typical High $162.18 | Facility | None | $162.18 | $162.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $512.86 | Professional | None (both parts) | $162.18 | $204.17 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $154.88 | Professional | 26 · Professional part | $44.67 | $58.88 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $426.58 | Professional | TC · Technical part | $117.49 | $144.54 | $426.58 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,659.59 | Facility | None | $1,479.11 | $1,479.11 | $1,659.59 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $346.74 Median $446.68 Typical High $524.81 | Professional | None (both parts) | $346.74 | $446.68 | $524.81 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $102.33 | $131.83 | $154.88 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $316.23 Typical High $371.54 | Professional | TC · Technical part | $239.88 | $316.23 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $229.09 | $380.19 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $151.36 | Professional | 26 · Professional part | $60.26 | $89.13 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $269.15 Typical High $489.78 | Professional | TC · Technical part | $169.82 | $269.15 | $489.78 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $2,511.89 | Facility | None | $162.18 | $162.18 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $549.54 Typical High $2,290.87 | Professional | None (both parts) | $281.84 | $549.54 | $2,290.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $128.82 Typical High $524.81 | Professional | 26 · Professional part | $64.57 | $128.82 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $416.87 Typical High $1,995.26 | Professional | TC · Technical part | $204.17 | $416.87 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $234.42 | $407.38 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $107.15 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $302.00 Typical High $436.52 | Professional | TC · Technical part | $169.82 | $302.00 | $436.52 |
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 $81.28 Median $95.50 Typical High $181.97 | Professional | 52 · Reduced service | $81.28 | $95.50 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $38.02 Typical High $72.44 | Professional | 53 · Discontinued | $32.36 | $38.02 | $72.44 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $416.87 Median $537.03 Typical High $630.96 | Professional | 22 · Increased work | $416.87 | $537.03 | $630.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $89.13 Typical High $104.71 | Professional | 55 · Aftercare only | $69.18 | $89.13 | $104.71 |
Where North Dakota sits
The same service costs 5.2 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
$427
AK $794UT $151
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.