How much rates vary
Facilitymedian $65 · 10th to 90th $21 to $195Professionalmedian $42 · 10th to 90th $21 to $63
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 $21.38 Median $21.38 Typical High $234.42 | Facility | None | $21.38 | $21.38 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $23.44 Typical High $50.12 | Professional | None (both parts) | $18.20 | $23.44 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.76 Typical High $16.60 | Professional | 26 · Professional part | $6.46 | $7.76 | $16.60 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $15.85 Typical High $32.36 | Professional | TC · Technical part | $12.02 | $15.85 | $32.36 |
BCBS North Dakota Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $173.78 | Facility | None | $56.23 | $87.10 | $173.78 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $38.02 Median $48.98 Typical High $57.54 | Professional | None (both parts) | $38.02 | $48.98 | $57.54 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $19.50 | Professional | 26 · Professional part | $12.88 | $16.60 | $19.50 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $32.36 Typical High $38.02 | Professional | TC · Technical part | $25.12 | $32.36 | $38.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $19.95 | $33.11 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.96 Typical High $18.62 | Professional | 26 · Professional part | $7.08 | $10.96 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $21.88 Typical High $38.02 | Professional | TC · Technical part | $12.88 | $21.88 | $38.02 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $199.53 | Facility | None | $21.38 | $21.38 | $199.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $21.88 Median $45.71 Typical High $173.78 | Professional | None (both parts) | $21.88 | $45.71 | $173.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $16.22 Typical High $72.44 | Professional | 26 · Professional part | $7.59 | $16.22 | $72.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $29.51 Typical High $147.91 | Professional | TC · Technical part | $13.80 | $29.51 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $34.67 Typical High $47.86 | Professional | None (both parts) | $20.42 | $34.67 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.30 Typical High $16.60 | Professional | 26 · Professional part | $7.59 | $12.30 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $23.44 Typical High $30.20 | Professional | TC · Technical part | $12.88 | $23.44 | $30.20 |
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 $9.33 Median $10.72 Typical High $12.88 | Professional | 52 · Reduced service | $9.33 | $10.72 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $4.27 Typical High $5.13 | Professional | 53 · Discontinued | $3.72 | $4.27 | $5.13 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $45.71 Median $58.88 Typical High $69.18 | Professional | 22 · Increased work | $45.71 | $58.88 | $69.18 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $75.86 Median $97.72 Typical High $114.82 | Professional | 50 · Both sides | $75.86 | $97.72 | $114.82 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $7.59 Median $9.77 Typical High $11.48 | Professional | 55 · Aftercare only | $7.59 | $9.77 | $11.48 |
Where North Dakota sits
The same service costs 3.7 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· 6th of 51
$41.69
AK $64.57FL $17.38
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.