How much rates vary
Facilitymedian $145 · 10th to 90th $31 to $324Professionalmedian $59 · 10th to 90th $31 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 $30.90 Median $204.17 Typical High $457.09 | Facility | None | $30.90 | $204.17 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $74.13 | Professional | None (both parts) | $26.92 | $34.67 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.91 Typical High $19.05 | Professional | 26 · Professional part | $7.41 | $8.91 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.12 Typical High $54.95 | Professional | TC · Technical part | $19.50 | $25.12 | $54.95 |
BCBS North Dakota Setting Facility Modifier None Typical Low $87.10 Median $114.82 Typical High $199.53 | Facility | None | $87.10 | $114.82 | $199.53 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $57.54 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $57.54 | $75.86 | $89.13 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.05 Typical High $22.39 | Professional | 26 · Professional part | $14.79 | $19.05 | $22.39 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $56.23 Typical High $66.07 | Professional | TC · Technical part | $43.65 | $56.23 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $50.12 Typical High $81.28 | Professional | None (both parts) | $29.51 | $50.12 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.30 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $12.30 | $20.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $37.15 Typical High $58.88 | Professional | TC · Technical part | $21.38 | $37.15 | $58.88 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $131.83 Typical High $234.42 | Facility | None | $30.90 | $131.83 | $234.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $29.51 Median $63.10 Typical High $208.93 | Professional | None (both parts) | $29.51 | $63.10 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $17.78 Typical High $74.13 | Professional | 26 · Professional part | $9.12 | $17.78 | $74.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $44.67 Typical High $177.83 | Professional | TC · Technical part | $22.39 | $44.67 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $50.12 Typical High $69.18 | Professional | None (both parts) | $29.51 | $50.12 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $14.13 Typical High $19.05 | Professional | 26 · Professional part | $8.51 | $14.13 | $19.05 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $36.31 Typical High $50.12 | Professional | TC · Technical part | $21.38 | $36.31 | $50.12 |
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 $14.13 Median $15.49 Typical High $16.98 | Professional | 52 · Reduced service | $14.13 | $15.49 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.17 Typical High $6.92 | Professional | 53 · Discontinued | $5.62 | $6.17 | $6.92 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $69.18 Median $91.20 Typical High $107.15 | Professional | 22 · Increased work | $69.18 | $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 15.1 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· 6th of 51
$66.07
VT $407FL $26.92
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.