How much rates vary
Facilitymedian $100 · 10th to 90th $32 to $240Professionalmedian $56 · 10th to 90th $30 to $87
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 $31.62 Median $57.54 Typical High $302.00 | Facility | None | $31.62 | $57.54 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $70.79 | Professional | None (both parts) | $26.30 | $31.62 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $18.20 | Professional | 26 · Professional part | $7.41 | $8.91 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $53.70 | Professional | TC · Technical part | $19.05 | $22.39 | $53.70 |
BCBS North Dakota Setting Facility Modifier None Typical Low $83.18 Median $107.15 Typical High $169.82 | Facility | None | $83.18 | $107.15 | $169.82 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $85.11 | Professional | None (both parts) | $56.23 | $72.44 | $85.11 |
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 $41.69 Median $53.70 Typical High $63.10 | Professional | TC · Technical part | $41.69 | $53.70 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $50.12 Typical High $77.62 | Professional | None (both parts) | $29.51 | $50.12 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.30 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $12.30 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $21.38 | $37.15 | $57.54 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $46.77 Typical High $144.54 | Facility | None | $31.62 | $46.77 | $144.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $56.23 Typical High $208.93 | Professional | None (both parts) | $30.20 | $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 $21.38 Median $38.02 Typical High $177.83 | Professional | TC · Technical part | $21.38 | $38.02 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $48.98 Typical High $61.66 | Professional | None (both parts) | $30.20 | $48.98 | $61.66 |
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 $21.38 Median $34.67 Typical High $41.69 | Professional | TC · Technical part | $21.38 | $34.67 | $41.69 |
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 $13.18 Median $15.85 Typical High $16.60 | Professional | 52 · Reduced service | $13.18 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.31 Typical High $6.76 | Professional | 53 · Discontinued | $5.25 | $6.31 | $6.76 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $67.61 Median $87.10 Typical High $102.33 | Professional | 22 · Increased work | $67.61 | $87.10 | $102.33 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $14.45 Typical High $16.98 | Professional | 55 · Aftercare only | $11.22 | $14.45 | $16.98 |
Where North Dakota sits
The same service costs 3.8 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· 9th of 51
$56.23
AK $95.50FL $25.12
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.