How much rates vary
Facilitymedian $105 · 10th to 90th $105 to $178Professionalmedian $195 · 10th to 90th $105 to $331
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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $95.50 | $104.71 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $35.48 | $40.74 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $154.88 | Professional | TC · Technical part | $57.54 | $63.10 | $154.88 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $194.98 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $194.98 | $251.19 | $295.12 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $91.20 | $107.15 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $186.21 | Professional | TC · Technical part | $123.03 | $158.49 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $181.97 Typical High $288.40 | Professional | None (both parts) | $107.15 | $181.97 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $39.81 | $60.26 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $107.15 Typical High $181.97 | Professional | TC · Technical part | $58.88 | $107.15 | $181.97 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $588.84 | Facility | None | $104.71 | $104.71 | $588.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $186.21 Typical High $1,122.02 | Professional | None (both parts) | $104.71 | $186.21 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $83.18 Typical High $363.08 | Professional | 26 · Professional part | $41.69 | $83.18 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $112.20 Typical High $912.01 | Professional | TC · Technical part | $61.66 | $112.20 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $100.00 | $165.96 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $66.07 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $60.26 | $97.72 | $158.49 |
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 $47.86 Median $51.29 Typical High $66.07 | Professional | 52 · Reduced service | $47.86 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.89 Typical High $26.30 | Professional | 53 · Discontinued | $19.05 | $20.89 | $26.30 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $234.42 Median $302.00 Typical High $354.81 | Professional | 22 · Increased work | $234.42 | $302.00 | $354.81 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $50.12 Typical High $58.88 | Professional | 55 · Aftercare only | $38.90 | $50.12 | $58.88 |
Where North Dakota sits
The same service costs 4.3 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
$195
AK $324UT $75.86
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.