How much rates vary
Facilitymedian $148 · 10th to 90th $35 to $331Professionalmedian $62 · 10th to 90th $34 to $102
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 $34.67 Median $208.93 Typical High $457.09 | Facility | None | $34.67 | $208.93 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $85.11 | Professional | None (both parts) | $28.84 | $34.67 | $85.11 |
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 $21.88 Median $26.92 Typical High $66.07 | Professional | TC · Technical part | $21.88 | $26.92 | $66.07 |
BCBS North Dakota Setting Facility Modifier None Typical Low $89.13 Median $114.82 Typical High $199.53 | Facility | None | $89.13 | $114.82 | $199.53 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $67.61 Median $87.10 Typical High $102.33 | Professional | None (both parts) | $67.61 | $87.10 | $102.33 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $23.44 | Professional | 26 · Professional part | $15.14 | $19.95 | $23.44 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $79.43 | Professional | TC · Technical part | $51.29 | $66.07 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $56.23 Typical High $89.13 | Professional | None (both parts) | $31.62 | $56.23 | $89.13 |
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 $22.39 Median $44.67 Typical High $69.18 | Professional | TC · Technical part | $22.39 | $44.67 | $69.18 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $151.36 Typical High $245.47 | Facility | None | $34.67 | $151.36 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.88 Median $61.66 Typical High $234.42 | Professional | None (both parts) | $33.88 | $61.66 | $234.42 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $17.78 Typical High $67.61 | Professional | 26 · Professional part | $10.47 | $17.78 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $44.67 Typical High $181.97 | Professional | TC · Technical part | $25.12 | $44.67 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $54.95 Typical High $64.57 | Professional | None (both parts) | $33.88 | $54.95 | $64.57 |
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 $25.12 Median $39.81 Typical High $48.98 | Professional | TC · Technical part | $25.12 | $39.81 | $48.98 |
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 $14.45 Median $17.38 Typical High $19.05 | Professional | 52 · Reduced service | $14.45 | $17.38 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $7.08 Typical High $7.59 | Professional | 53 · Discontinued | $5.75 | $7.08 | $7.59 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $81.28 Median $104.71 Typical High $123.03 | Professional | 22 · Increased work | $81.28 | $104.71 | $123.03 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $134.90 Median $173.78 Typical High $204.17 | Professional | 50 · Both sides | $134.90 | $173.78 | $204.17 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $13.49 Median $17.38 Typical High $20.42 | Professional | 55 · Aftercare only | $13.49 | $17.38 | $20.42 |
Where North Dakota sits
The same service costs 13.5 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
$72.44
VT $389FL $28.84
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.