How much rates vary
Facilitymedian $95 · 10th to 90th $30 to $219Professionalmedian $52 · 10th to 90th $29 to $85
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 $30.20 Median $30.20 Typical High $251.19 | Facility | None | $30.20 | $30.20 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.20 Typical High $69.18 | Professional | None (both parts) | $25.12 | $30.20 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.51 Typical High $18.20 | Professional | 26 · Professional part | $7.08 | $8.51 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $51.29 | Professional | TC · Technical part | $17.78 | $21.88 | $51.29 |
BCBS North Dakota Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $169.82 | Facility | None | $70.79 | $97.72 | $169.82 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $83.18 | Professional | None (both parts) | $54.95 | $70.79 | $83.18 |
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 $40.74 Median $53.70 Typical High $63.10 | Professional | TC · Technical part | $40.74 | $53.70 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $27.54 | $47.86 | $75.86 |
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 $19.95 Median $36.31 Typical High $54.95 | Professional | TC · Technical part | $19.95 | $36.31 | $54.95 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $91.20 Typical High $218.78 | Facility | None | $30.20 | $91.20 | $218.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.84 Median $52.48 Typical High $199.53 | Professional | None (both parts) | $28.84 | $52.48 | $199.53 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $16.98 Typical High $61.66 | Professional | 26 · Professional part | $8.32 | $16.98 | $61.66 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $37.15 Typical High $154.88 | Professional | TC · Technical part | $20.89 | $37.15 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $47.86 Typical High $56.23 | Professional | None (both parts) | $28.84 | $47.86 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.49 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $13.49 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $33.11 Typical High $40.74 | Professional | TC · Technical part | $20.89 | $33.11 | $40.74 |
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 $12.59 Median $15.14 Typical High $16.22 | Professional | 52 · Reduced service | $12.59 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $6.03 Typical High $6.46 | Professional | 53 · Discontinued | $5.01 | $6.03 | $6.46 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $66.07 Median $85.11 Typical High $100.00 | Professional | 22 · Increased work | $66.07 | $85.11 | $100.00 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $109.65 Median $141.25 Typical High $169.82 | Professional | 50 · Both sides | $109.65 | $141.25 | $169.82 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $14.13 Typical High $16.98 | Professional | 55 · Aftercare only | $10.96 | $14.13 | $16.98 |
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· 8th of 51
$54.95
AK $91.20FL $24.55
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.