How much rates vary
Facilitymedian $115 · 10th to 90th $32 to $263Professionalmedian $55 · 10th to 90th $30 to $91
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 $147.91 Typical High $316.23 | Facility | None | $31.62 | $147.91 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $70.79 | Professional | None (both parts) | $25.70 | $31.62 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $17.38 | Professional | 26 · Professional part | $7.08 | $8.51 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.91 Typical High $53.70 | Professional | TC · Technical part | $19.05 | $22.91 | $53.70 |
BCBS North Dakota Setting Facility Modifier None Typical Low $87.10 Median $109.65 Typical High $177.83 | Facility | None | $87.10 | $109.65 | $177.83 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $58.88 | $75.86 | $89.13 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $18.20 | $21.38 |
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 $28.84 Median $50.12 Typical High $77.62 | Professional | None (both parts) | $28.84 | $50.12 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $7.59 | $12.02 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $38.02 Typical High $58.88 | Professional | TC · Technical part | $20.89 | $38.02 | $58.88 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $114.82 Typical High $213.80 | Facility | None | $31.62 | $114.82 | $213.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $54.95 Typical High $208.93 | Professional | None (both parts) | $30.20 | $54.95 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $16.98 Typical High $79.43 | Professional | 26 · Professional part | $8.32 | $16.98 | $79.43 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $38.90 Typical High $162.18 | Professional | TC · Technical part | $21.88 | $38.90 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $48.98 Typical High $57.54 | Professional | None (both parts) | $30.20 | $48.98 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.49 Typical High $18.20 | Professional | 26 · Professional part | $8.32 | $13.49 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $42.66 | Professional | TC · Technical part | $21.88 | $34.67 | $42.66 |
5 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 $12.88 Median $15.85 Typical High $16.60 | Professional | 52 · Reduced service | $12.88 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $6.31 Typical High $6.76 | Professional | 53 · Discontinued | $5.13 | $6.31 | $6.76 |
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 50 · Both sides Typical Low $117.49 Median $151.36 Typical High $177.83 | Professional | 50 · Both sides | $117.49 | $151.36 | $177.83 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.14 Typical High $17.78 | Professional | 55 · Aftercare only | $11.75 | $15.14 | $17.78 |
Where North Dakota sits
The same service costs 6.0 times more in Vermont 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
$58.88
VT $155FL $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.