How much rates vary
Facilitymedian $933 · 10th to 90th $110 to $1,738Professionalmedian $282 · 10th to 90th $158 to $550
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 $109.65 Median $954.99 Typical High $1,995.26 | Facility | None | $109.65 | $954.99 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $109.65 | $223.87 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $120.23 | Professional | 26 · Professional part | $35.48 | $51.29 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $151.36 Typical High $302.00 | Professional | TC · Technical part | $74.13 | $151.36 | $302.00 |
BCBS North Dakota Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $1,148.15 | Facility | None | $691.83 | $851.14 | $1,148.15 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $229.09 Median $295.12 Typical High $346.74 | Professional | None (both parts) | $229.09 | $295.12 | $346.74 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $104.71 | $123.03 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $190.55 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $154.88 | $251.19 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $70.79 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $165.96 Typical High $288.40 | Professional | TC · Technical part | $107.15 | $165.96 | $288.40 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $1,318.26 Typical High $1,778.28 | Facility | None | $109.65 | $1,318.26 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $363.08 Typical High $1,621.81 | Professional | None (both parts) | $190.55 | $363.08 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $100.00 Typical High $380.19 | Professional | 26 · Professional part | $51.29 | $100.00 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $263.03 Typical High $1,348.96 | Professional | TC · Technical part | $114.82 | $263.03 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $269.15 Typical High $363.08 | Professional | None (both parts) | $158.49 | $269.15 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $83.18 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $190.55 Typical High $275.42 | Professional | TC · Technical part | $107.15 | $190.55 | $275.42 |
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 $54.95 Median $63.10 Typical High $134.90 | Professional | 52 · Reduced service | $54.95 | $63.10 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.12 Typical High $53.70 | Professional | 53 · Discontinued | $21.88 | $25.12 | $53.70 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $275.42 Median $354.81 Typical High $416.87 | Professional | 22 · Increased work | $275.42 | $354.81 | $416.87 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $58.88 Typical High $69.18 | Professional | 55 · Aftercare only | $45.71 | $58.88 | $69.18 |
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
$302
AK $525UT $100
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.