How much rates vary
Facilitymedian $398 · 10th to 90th $398 to $692Professionalmedian $708 · 10th to 90th $407 to $1,288
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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $354.81 | $398.11 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $85.11 | $91.20 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $309.03 Typical High $562.34 | Professional | TC · Technical part | $269.15 | $309.03 | $562.34 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $588.84 Median $758.58 Typical High $912.01 | Professional | None (both parts) | $588.84 | $758.58 | $912.01 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $186.21 Typical High $218.78 | Professional | 26 · Professional part | $144.54 | $186.21 | $218.78 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $575.44 Typical High $676.08 | Professional | TC · Technical part | $446.68 | $575.44 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $660.69 Typical High $1,023.29 | Professional | None (both parts) | $398.11 | $660.69 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $128.82 Typical High $218.78 | Professional | 26 · Professional part | $85.11 | $128.82 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $512.86 Typical High $794.33 | Professional | TC · Technical part | $295.12 | $512.86 | $794.33 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $3,388.44 | Facility | None | $398.11 | $398.11 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $457.09 Median $831.76 Typical High $3,235.94 | Professional | None (both parts) | $457.09 | $831.76 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $181.97 Typical High $616.60 | Professional | 26 · Professional part | $93.33 | $181.97 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $660.69 Typical High $2,754.23 | Professional | TC · Technical part | $363.08 | $660.69 | $2,754.23 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $691.83 Typical High $912.01 | Professional | None (both parts) | $407.38 | $691.83 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $158.49 Typical High $204.17 | Professional | 26 · Professional part | $89.13 | $158.49 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $537.03 Typical High $741.31 | Professional | TC · Technical part | $309.03 | $537.03 | $741.31 |
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 $177.83 Median $199.53 Typical High $302.00 | Professional | 52 · Reduced service | $177.83 | $199.53 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $81.28 Typical High $120.23 | Professional | 53 · Discontinued | $70.79 | $81.28 | $120.23 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $707.95 Median $912.01 Typical High $1,071.52 | Professional | 22 · Increased work | $707.95 | $912.01 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $154.88 Typical High $181.97 | Professional | 55 · Aftercare only | $117.49 | $154.88 | $181.97 |
Where North Dakota sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 9th of 51
$692
WY $1,380TX $257
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.