How much rates vary
Facilitymedian $316 · 10th to 90th $316 to $1,950Professionalmedian $589 · 10th to 90th $324 to $1,096
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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $426.58 Typical High $691.83 | Professional | None (both parts) | $288.40 | $426.58 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $204.17 | Professional | 26 · Professional part | $85.11 | $107.15 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $512.86 | Professional | TC · Technical part | $199.53 | $302.00 | $512.86 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,659.59 Median $1,737.80 Typical High $1,949.84 | Facility | None | $1,659.59 | $1,737.80 | $1,949.84 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $478.63 Median $616.60 Typical High $724.44 | Professional | None (both parts) | $478.63 | $616.60 | $724.44 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $186.21 Typical High $223.87 | Professional | 26 · Professional part | $144.54 | $186.21 | $223.87 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $436.52 Typical High $512.86 | Professional | TC · Technical part | $338.84 | $436.52 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $537.03 Typical High $933.25 | Professional | None (both parts) | $323.59 | $537.03 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $131.83 Typical High $218.78 | Professional | 26 · Professional part | $85.11 | $131.83 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $380.19 Typical High $676.08 | Professional | TC · Technical part | $223.87 | $380.19 | $676.08 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $2,691.53 | Facility | None | $316.23 | $316.23 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $660.69 Typical High $3,467.37 | Professional | None (both parts) | $363.08 | $660.69 | $3,467.37 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $177.83 Typical High $645.65 | Professional | 26 · Professional part | $91.20 | $177.83 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $478.63 Typical High $3,019.95 | Professional | TC · Technical part | $263.03 | $478.63 | $3,019.95 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $549.54 Typical High $794.33 | Professional | None (both parts) | $323.59 | $549.54 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $154.88 Typical High $223.87 | Professional | 26 · Professional part | $91.20 | $154.88 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $398.11 Typical High $660.69 | Professional | TC · Technical part | $229.09 | $398.11 | $660.69 |
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 $141.25 Median $158.49 Typical High $302.00 | Professional | 52 · Reduced service | $141.25 | $158.49 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $63.10 Typical High $120.23 | Professional | 53 · Discontinued | $57.54 | $63.10 | $120.23 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $575.44 Median $741.31 Typical High $870.96 | Professional | 22 · Increased work | $575.44 | $741.31 | $870.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $125.89 Typical High $147.91 | Professional | 55 · Aftercare only | $95.50 | $125.89 | $147.91 |
Where North Dakota sits
The same service costs 5.9 times more in Wyoming 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· 13th of 51
$575
WY $1,122UT $191
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.