How much rates vary
Facilitymedian $41 · 10th to 90th $41 to $288Professionalmedian $76 · 10th to 90th $39 to $126
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 $40.74 Median $40.74 Typical High $288.40 | Facility | None | $40.74 | $40.74 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $104.71 | Professional | None (both parts) | $37.15 | $42.66 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $30.90 | Professional | 26 · Professional part | $9.77 | $12.88 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.90 Typical High $72.44 | Professional | TC · Technical part | $26.30 | $30.90 | $72.44 |
BCBS North Dakota Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $512.86 | Facility | None | $117.49 | $154.88 | $512.86 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $75.86 | $97.72 | $117.49 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $33.11 | Professional | 26 · Professional part | $21.88 | $28.18 | $33.11 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $83.18 | Professional | TC · Technical part | $54.95 | $70.79 | $83.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $64.57 Typical High $104.71 | Professional | None (both parts) | $38.02 | $64.57 | $104.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $17.78 Typical High $29.51 | Professional | 26 · Professional part | $10.72 | $17.78 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $45.71 Typical High $75.86 | Professional | TC · Technical part | $26.30 | $45.71 | $75.86 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $154.88 | Facility | None | $40.74 | $40.74 | $154.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.90 Median $75.86 Typical High $269.15 | Professional | None (both parts) | $38.90 | $75.86 | $269.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $22.39 Typical High $97.72 | Professional | 26 · Professional part | $12.30 | $22.39 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $53.70 Typical High $208.93 | Professional | TC · Technical part | $28.18 | $53.70 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $64.57 Typical High $83.18 | Professional | None (both parts) | $38.90 | $64.57 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.50 Typical High $24.55 | Professional | 26 · Professional part | $12.30 | $19.50 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $43.65 Typical High $58.88 | Professional | TC · Technical part | $26.92 | $43.65 | $58.88 |
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 $18.20 Median $20.42 Typical High $21.88 | Professional | 52 · Reduced service | $18.20 | $20.42 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $8.13 Typical High $8.71 | Professional | 53 · Discontinued | $7.41 | $8.13 | $8.71 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $91.20 Median $117.49 Typical High $138.04 | Professional | 22 · Increased work | $91.20 | $117.49 | $138.04 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $19.95 Typical High $23.44 | Professional | 55 · Aftercare only | $15.14 | $19.95 | $23.44 |
Where North Dakota sits
The same service costs 3.7 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· 7th of 51
$75.86
AK $123UT $33.11
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.