How much rates vary
Facilitymedian $126 · 10th to 90th $35 to $295Professionalmedian $63 · 10th to 90th $33 to $107
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 $35.48 Median $199.53 Typical High $346.74 | Facility | None | $35.48 | $199.53 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $35.48 Typical High $87.10 | Professional | None (both parts) | $28.18 | $35.48 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.08 Typical High $15.14 | Professional | 26 · Professional part | $5.89 | $7.08 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $72.44 | Professional | TC · Technical part | $22.39 | $28.84 | $72.44 |
BCBS North Dakota Setting Facility Modifier None Typical Low $87.10 Median $123.03 Typical High $181.97 | Facility | None | $87.10 | $123.03 | $181.97 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $104.71 | Professional | None (both parts) | $69.18 | $89.13 | $104.71 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.14 Typical High $17.78 | Professional | 26 · Professional part | $11.75 | $15.14 | $17.78 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $57.54 | $74.13 | $87.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $58.88 Typical High $91.20 | Professional | None (both parts) | $28.18 | $58.88 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $10.00 Typical High $16.60 | Professional | 26 · Professional part | $6.31 | $10.00 | $16.60 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $48.98 Typical High $75.86 | Professional | TC · Technical part | $22.39 | $48.98 | $75.86 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $100.00 Typical High $147.91 | Facility | None | $35.48 | $100.00 | $147.91 |
Medica Setting Professional Modifier None (both parts) Typical Low $34.67 Median $63.10 Typical High $239.88 | Professional | None (both parts) | $34.67 | $63.10 | $239.88 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $14.13 Typical High $51.29 | Professional | 26 · Professional part | $7.24 | $14.13 | $51.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $48.98 Typical High $199.53 | Professional | TC · Technical part | $27.54 | $48.98 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $56.23 Typical High $66.07 | Professional | None (both parts) | $34.67 | $56.23 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $11.22 Typical High $15.14 | Professional | 26 · Professional part | $6.92 | $11.22 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $44.67 Typical High $54.95 | Professional | TC · Technical part | $27.54 | $44.67 | $54.95 |
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 $17.78 Typical High $19.50 | Professional | 52 · Reduced service | $14.13 | $17.78 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $7.08 Typical High $7.94 | Professional | 53 · Discontinued | $5.62 | $7.08 | $7.94 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $83.18 Median $107.15 Typical High $125.89 | Professional | 22 · Increased work | $83.18 | $107.15 | $125.89 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $138.04 Median $177.83 Typical High $208.93 | Professional | 50 · Both sides | $138.04 | $177.83 | $208.93 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $13.80 Median $17.78 Typical High $20.89 | Professional | 55 · Aftercare only | $13.80 | $17.78 | $20.89 |
Where North Dakota sits
The same service costs 11.5 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
$79.43
VT $339FL $29.51
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.