How much rates vary
Facilitymedian $107 · 10th to 90th $107 to $182Professionalmedian $214 · 10th to 90th $107 to $380
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $107.15 Typical High $346.74 | Professional | None (both parts) | $97.72 | $107.15 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $36.31 | $42.66 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $64.57 Typical High $223.87 | Professional | TC · Technical part | $61.66 | $64.57 | $223.87 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $213.80 | $275.42 | $323.59 |
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 $144.54 Median $181.97 Typical High $218.78 | Professional | TC · Technical part | $144.54 | $181.97 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $190.55 Typical High $331.13 | Professional | None (both parts) | $109.65 | $190.55 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $39.81 | $58.88 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $61.66 | $112.20 | $218.78 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $1,230.27 | Facility | None | $107.15 | $107.15 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $194.98 Typical High $1,949.84 | Professional | None (both parts) | $109.65 | $194.98 | $1,949.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $87.10 Typical High $549.54 | Professional | 26 · Professional part | $41.69 | $87.10 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $109.65 Typical High $1,737.80 | Professional | TC · Technical part | $64.57 | $109.65 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $173.78 Typical High $263.03 | Professional | None (both parts) | $104.71 | $173.78 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $41.69 | $69.18 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $61.66 | $102.33 | $169.82 |
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 $48.98 Median $53.70 Typical High $64.57 | Professional | 52 · Reduced service | $48.98 | $53.70 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $21.38 Typical High $25.70 | Professional | 53 · Discontinued | $19.95 | $21.38 | $25.70 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $257.04 Median $331.13 Typical High $389.05 | Professional | 22 · Increased work | $257.04 | $331.13 | $389.05 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $54.95 Typical High $66.07 | Professional | 55 · Aftercare only | $42.66 | $54.95 | $66.07 |
Where North Dakota sits
The same service costs 4.0 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
$209
AK $339FL $85.11
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.