How much rates vary
Facilitymedian $32 · 10th to 90th $32 to $120Professionalmedian $58 · 10th to 90th $31 to $93
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 $32.36 Median $32.36 Typical High $194.98 | Facility | None | $32.36 | $32.36 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $32.36 Typical High $77.62 | Professional | None (both parts) | $26.92 | $32.36 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.91 Typical High $19.95 | Professional | 26 · Professional part | $7.24 | $8.91 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.44 Typical High $57.54 | Professional | TC · Technical part | $19.50 | $23.44 | $57.54 |
BCBS North Dakota Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $120.23 | Facility | None | $91.20 | $91.20 | $120.23 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $91.20 | Professional | None (both parts) | $58.88 | $75.86 | $91.20 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $22.39 | Professional | 26 · Professional part | $14.79 | $19.05 | $22.39 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $57.54 Typical High $67.61 | Professional | TC · Technical part | $44.67 | $57.54 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $51.29 Typical High $81.28 | Professional | None (both parts) | $29.51 | $51.29 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.30 Typical High $20.89 | Professional | 26 · Professional part | $7.76 | $12.30 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $38.90 Typical High $60.26 | Professional | TC · Technical part | $21.38 | $38.90 | $60.26 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $95.50 | Facility | None | $32.36 | $32.36 | $95.50 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $56.23 Typical High $208.93 | Professional | None (both parts) | $30.90 | $56.23 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $17.78 Typical High $83.18 | Professional | 26 · Professional part | $8.71 | $17.78 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $39.81 Typical High $158.49 | Professional | TC · Technical part | $22.39 | $39.81 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $50.12 Typical High $60.26 | Professional | None (both parts) | $30.90 | $50.12 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $14.13 Typical High $19.05 | Professional | 26 · Professional part | $8.51 | $14.13 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $35.48 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $35.48 | $42.66 |
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 $13.49 Median $16.22 Typical High $17.38 | Professional | 52 · Reduced service | $13.49 | $16.22 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.46 Typical High $6.92 | Professional | 53 · Discontinued | $5.37 | $6.46 | $6.92 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $70.79 Median $91.20 Typical High $107.15 | Professional | 22 · Increased work | $70.79 | $91.20 | $107.15 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.49 Typical High $18.20 | Professional | 55 · Aftercare only | $11.75 | $15.49 | $18.20 |
Where North Dakota sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 8th of 51
$56.23
AK $95.50FL $25.70
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.