How much rates vary
Facilitymedian $933 · 10th to 90th $170 to $1,778Professionalmedian $447 · 10th to 90th $245 to $676
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 $169.82 Median $169.82 Typical High $2,398.83 | Facility | None | $169.82 | $169.82 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $575.44 | Professional | None (both parts) | $169.82 | $275.42 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $58.88 Typical High $131.83 | Professional | 26 · Professional part | $40.74 | $58.88 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $218.78 Typical High $416.87 | Professional | TC · Technical part | $128.82 | $218.78 | $416.87 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,000.00 Median $1,412.54 Typical High $1,698.24 | Facility | None | $1,000.00 | $1,412.54 | $1,698.24 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $398.11 Median $512.86 Typical High $602.56 | Professional | None (both parts) | $398.11 | $512.86 | $602.56 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $144.54 | Professional | 26 · Professional part | $93.33 | $120.23 | $144.54 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $389.05 Typical High $457.09 | Professional | TC · Technical part | $302.00 | $389.05 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $616.60 | Professional | None (both parts) | $251.19 | $371.54 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $54.95 | $83.18 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $194.98 | $295.12 | $467.74 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $288.40 Typical High $1,318.26 | Facility | None | $169.82 | $288.40 | $1,318.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $245.47 Median $457.09 Typical High $1,819.70 | Professional | None (both parts) | $245.47 | $457.09 | $1,819.70 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $117.49 Typical High $363.08 | Professional | 26 · Professional part | $58.88 | $117.49 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $338.84 Typical High $1,513.56 | Professional | TC · Technical part | $186.21 | $338.84 | $1,513.56 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $407.38 Typical High $478.63 | Professional | None (both parts) | $245.47 | $407.38 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $97.72 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $186.21 | $309.03 | $416.87 |
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 $83.18 Median $109.65 Typical High $162.18 | Professional | 52 · Reduced service | $83.18 | $109.65 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $43.65 Typical High $64.57 | Professional | 53 · Discontinued | $33.88 | $43.65 | $64.57 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $478.63 Median $616.60 Typical High $724.44 | Professional | 22 · Increased work | $478.63 | $616.60 | $724.44 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $102.33 Typical High $120.23 | Professional | 55 · Aftercare only | $79.43 | $102.33 | $120.23 |
Where North Dakota sits
The same service costs 4.4 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
$447
AK $776UT $178
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.