How much rates vary
Facilitymedian $145 · 10th to 90th $145 to $245Professionalmedian $263 · 10th to 90th $145 to $479
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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $141.25 | $144.54 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $83.18 | Professional | 26 · Professional part | $57.54 | $67.61 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $81.28 | $154.88 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $363.08 | Professional | None (both parts) | $234.42 | $316.23 | $363.08 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $141.25 Typical High $162.18 | Professional | 26 · Professional part | $104.71 | $141.25 | $162.18 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $173.78 Typical High $199.53 | Professional | TC · Technical part | $128.82 | $173.78 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $147.91 | $257.04 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $97.72 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $97.72 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $138.04 Typical High $263.03 | Professional | TC · Technical part | $70.79 | $138.04 | $263.03 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $977.24 | Facility | None | $144.54 | $144.54 | $977.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $257.04 Typical High $1,698.24 | Professional | None (both parts) | $144.54 | $257.04 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $134.90 Typical High $489.78 | Professional | 26 · Professional part | $66.07 | $134.90 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $138.04 Typical High $1,348.96 | Professional | TC · Technical part | $72.44 | $138.04 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $229.09 Typical High $354.81 | Professional | None (both parts) | $138.04 | $229.09 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $107.15 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $234.42 | Professional | TC · Technical part | $72.44 | $117.49 | $234.42 |
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 $70.79 Median $70.79 Typical High $102.33 | Professional | 52 · Reduced service | $70.79 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $40.74 | Professional | 53 · Discontinued | $28.84 | $28.84 | $40.74 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $281.84 Median $380.19 Typical High $436.52 | Professional | 22 · Increased work | $281.84 | $380.19 | $436.52 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $63.10 Typical High $72.44 | Professional | 55 · Aftercare only | $46.77 | $63.10 | $72.44 |
Where North Dakota sits
The same service costs 4.6 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· 13th of 51
$257
AK $447UT $97.72
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.