How much rates vary
Facilitymedian $316 · 10th to 90th $316 to $1,738Professionalmedian $589 · 10th to 90th $316 to $1,175
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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $446.68 Typical High $812.83 | Professional | None (both parts) | $281.84 | $446.68 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $107.15 Typical High $239.88 | Professional | 26 · Professional part | $81.28 | $107.15 | $239.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $309.03 Typical High $645.65 | Professional | TC · Technical part | $194.98 | $309.03 | $645.65 |
BCBS North Dakota Setting Facility Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $467.74 Median $616.60 Typical High $724.44 | Professional | None (both parts) | $467.74 | $616.60 | $724.44 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $181.97 | $213.80 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $426.58 Typical High $501.19 | Professional | TC · Technical part | $331.13 | $426.58 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $524.81 Typical High $912.01 | Professional | None (both parts) | $316.23 | $524.81 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $123.03 Typical High $204.17 | Professional | 26 · Professional part | $81.28 | $123.03 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $660.69 | Professional | TC · Technical part | $218.78 | $371.54 | $660.69 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $2,630.27 | Facility | None | $316.23 | $316.23 | $2,630.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $831.76 Typical High $3,388.44 | Professional | None (both parts) | $380.19 | $831.76 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $173.78 Typical High $660.69 | Professional | 26 · Professional part | $89.13 | $173.78 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $660.69 Typical High $2,951.21 | Professional | TC · Technical part | $269.15 | $660.69 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $562.34 Typical High $831.76 | Professional | None (both parts) | $316.23 | $562.34 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $151.36 Typical High $199.53 | Professional | 26 · Professional part | $85.11 | $151.36 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $426.58 Typical High $660.69 | Professional | TC · Technical part | $229.09 | $426.58 | $660.69 |
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 $141.25 Median $158.49 Typical High $295.12 | Professional | 52 · Reduced service | $141.25 | $158.49 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $63.10 Typical High $117.49 | Professional | 53 · Discontinued | $56.23 | $63.10 | $117.49 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $562.34 Median $724.44 Typical High $851.14 | Professional | 22 · Increased work | $562.34 | $724.44 | $851.14 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $123.03 Typical High $144.54 | Professional | 55 · Aftercare only | $93.33 | $123.03 | $144.54 |
Where North Dakota sits
The same service costs 5.6 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· 11th of 51
$589
WY $1,072TX $191
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.