How much rates vary
Facilitymedian $1,622 · 10th to 90th $269 to $2,692Professionalmedian $513 · 10th to 90th $269 to $1,047
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 $269.15 Median $870.96 Typical High $3,311.31 | Facility | None | $269.15 | $870.96 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $407.38 Typical High $707.95 | Professional | None (both parts) | $239.88 | $407.38 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $114.82 Typical High $194.98 | Professional | 26 · Professional part | $70.79 | $114.82 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $169.82 | $288.40 | $524.81 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,445.44 Median $1,737.80 Typical High $2,290.87 | Facility | None | $1,445.44 | $1,737.80 | $2,290.87 |
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 $117.49 Median $151.36 Typical High $177.83 | Professional | 26 · Professional part | $117.49 | $151.36 | $177.83 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $426.58 | Professional | TC · Technical part | $281.84 | $363.08 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $446.68 Typical High $776.25 | Professional | None (both parts) | $269.15 | $446.68 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $104.71 Typical High $173.78 | Professional | 26 · Professional part | $69.18 | $104.71 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $316.23 Typical High $588.84 | Professional | TC · Technical part | $186.21 | $316.23 | $588.84 |
Medica Setting Facility Modifier None Typical Low $269.15 Median $457.09 Typical High $2,754.23 | Facility | None | $269.15 | $457.09 | $2,754.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $758.58 Typical High $3,467.37 | Professional | None (both parts) | $323.59 | $758.58 | $3,467.37 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $147.91 Typical High $575.44 | Professional | 26 · Professional part | $75.86 | $147.91 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $602.56 Typical High $2,454.71 | Professional | TC · Technical part | $234.42 | $602.56 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $489.78 Typical High $758.58 | Professional | None (both parts) | $269.15 | $489.78 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $72.44 | $125.89 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $398.11 Typical High $602.56 | Professional | TC · Technical part | $194.98 | $398.11 | $602.56 |
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 $120.23 Median $134.90 Typical High $245.47 | Professional | 52 · Reduced service | $120.23 | $134.90 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $53.70 Typical High $100.00 | Professional | 53 · Discontinued | $47.86 | $53.70 | $100.00 |
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 $123.03 | Professional | 55 · Aftercare only | $79.43 | $102.33 | $123.03 |
Where North Dakota sits
The same service costs 6.0 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· 9th of 51
$525
WY $912UT $151
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.