How much rates vary
Facilitymedian $1,738 · 10th to 90th $219 to $3,311Professionalmedian $417 · 10th to 90th $219 to $912
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 $218.78 Median $2,290.87 Typical High $3,388.44 | Facility | None | $218.78 | $2,290.87 | $3,388.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $645.65 | Professional | None (both parts) | $199.53 | $338.84 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $70.79 | $114.82 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $218.78 Typical High $467.74 | Professional | TC · Technical part | $128.82 | $218.78 | $467.74 |
BCBS North Dakota Setting Facility Modifier None Typical Low $933.25 Median $1,258.93 Typical High $1,778.28 | Facility | None | $933.25 | $1,258.93 | $1,778.28 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $338.84 Median $436.52 Typical High $512.86 | Professional | None (both parts) | $338.84 | $436.52 | $512.86 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $154.88 Typical High $181.97 | Professional | 26 · Professional part | $120.23 | $154.88 | $181.97 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $331.13 | Professional | TC · Technical part | $218.78 | $281.84 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $371.54 Typical High $645.65 | Professional | None (both parts) | $229.09 | $371.54 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $104.71 Typical High $177.83 | Professional | 26 · Professional part | $70.79 | $104.71 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $239.88 Typical High $537.03 | Professional | TC · Technical part | $144.54 | $239.88 | $537.03 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $1,778.28 Typical High $2,630.27 | Facility | None | $218.78 | $1,778.28 | $2,630.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $218.78 Median $446.68 Typical High $3,162.28 | Professional | None (both parts) | $218.78 | $446.68 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $151.36 Typical High $575.44 | Professional | 26 · Professional part | $83.18 | $151.36 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $302.00 Typical High $2,754.23 | Professional | TC · Technical part | $165.96 | $302.00 | $2,754.23 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $380.19 Typical High $588.84 | Professional | None (both parts) | $218.78 | $380.19 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $128.82 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $467.74 | Professional | TC · Technical part | $144.54 | $251.19 | $467.74 |
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 $100.00 Median $109.65 Typical High $275.42 | Professional | 52 · Reduced service | $100.00 | $109.65 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $43.65 Typical High $109.65 | Professional | 53 · Discontinued | $39.81 | $43.65 | $109.65 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $407.38 Median $524.81 Typical High $616.60 | Professional | 22 · Increased work | $407.38 | $524.81 | $616.60 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $87.10 Typical High $102.33 | Professional | 55 · Aftercare only | $67.61 | $87.10 | $102.33 |
Where North Dakota sits
The same service costs 24.0 times more in Vermont 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· 10th of 51
$447
VT $2,951UT $123
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.