How much rates vary
Facilitymedian $170 · 10th to 90th $170 to $1,479Professionalmedian $501 · 10th to 90th $282 to $871
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 $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $169.82 | $281.84 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $162.18 | Professional | 26 · Professional part | $42.66 | $57.54 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $208.93 Typical High $457.09 | Professional | TC · Technical part | $125.89 | $208.93 | $457.09 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,819.70 | Facility | None | $1,479.11 | $1,479.11 | $1,819.70 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $436.52 Median $562.34 Typical High $660.69 | Professional | None (both parts) | $436.52 | $562.34 | $660.69 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $125.89 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $125.89 | $147.91 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $436.52 Typical High $512.86 | Professional | TC · Technical part | $331.13 | $436.52 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $436.52 Typical High $676.08 | Professional | None (both parts) | $288.40 | $436.52 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $57.54 | $87.10 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $218.78 | $338.84 | $524.81 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $2,511.89 | Facility | None | $169.82 | $169.82 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $562.34 Typical High $2,089.30 | Professional | None (both parts) | $281.84 | $562.34 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $123.03 Typical High $398.11 | Professional | 26 · Professional part | $63.10 | $123.03 | $398.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $436.52 Typical High $1,737.80 | Professional | TC · Technical part | $234.42 | $436.52 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $467.74 Typical High $602.56 | Professional | None (both parts) | $281.84 | $467.74 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $102.33 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $102.33 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $363.08 Typical High $489.78 | Professional | TC · Technical part | $218.78 | $363.08 | $489.78 |
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 $85.11 Median $114.82 Typical High $181.97 | Professional | 52 · Reduced service | $85.11 | $114.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $45.71 Typical High $72.44 | Professional | 53 · Discontinued | $33.88 | $45.71 | $72.44 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $524.81 Median $676.08 Typical High $794.33 | Professional | 22 · Increased work | $524.81 | $676.08 | $794.33 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $870.96 Median $1,122.02 Typical High $1,318.26 | Professional | 50 · Both sides | $870.96 | $1,122.02 | $1,318.26 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $112.20 Typical High $131.83 | Professional | 55 · Aftercare only | $87.10 | $112.20 | $131.83 |
Where North Dakota sits
The same service costs 5.0 times more in Alaska than in Utah. 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· 7th of 51
$490
AK $891UT $178
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.