How much rates vary
Facilitymedian $1,318 · 10th to 90th $302 to $2,630Professionalmedian $631 · 10th to 90th $355 to $1,072
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 $302.00 Median $302.00 Typical High $3,981.07 | Facility | None | $302.00 | $302.00 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $457.09 Typical High $758.58 | Professional | None (both parts) | $302.00 | $457.09 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $104.71 Typical High $181.97 | Professional | 26 · Professional part | $64.57 | $104.71 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $338.84 Typical High $602.56 | Professional | TC · Technical part | $234.42 | $338.84 | $602.56 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,288.25 Median $2,137.96 Typical High $2,238.72 | Facility | None | $1,288.25 | $2,137.96 | $2,238.72 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $537.03 Median $691.83 Typical High $812.83 | Professional | None (both parts) | $537.03 | $691.83 | $812.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $169.82 | Professional | 26 · Professional part | $109.65 | $141.25 | $169.82 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $549.54 Typical High $645.65 | Professional | TC · Technical part | $426.58 | $549.54 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $575.44 Typical High $870.96 | Professional | None (both parts) | $354.81 | $575.44 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $95.50 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $467.74 Typical High $741.31 | Professional | TC · Technical part | $281.84 | $467.74 | $741.31 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $446.68 Typical High $2,041.74 | Facility | None | $302.00 | $446.68 | $2,041.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $741.31 Typical High $2,818.38 | Professional | None (both parts) | $380.19 | $741.31 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $138.04 Typical High $467.74 | Professional | 26 · Professional part | $69.18 | $138.04 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $602.56 Typical High $2,511.89 | Professional | TC · Technical part | $331.13 | $602.56 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $616.60 Typical High $812.83 | Professional | None (both parts) | $354.81 | $616.60 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $117.49 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $501.19 Typical High $676.08 | Professional | TC · Technical part | $288.40 | $501.19 | $676.08 |
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 $144.54 Median $151.36 Typical High $245.47 | Professional | 52 · Reduced service | $144.54 | $151.36 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $60.26 Typical High $97.72 | Professional | 53 · Discontinued | $57.54 | $60.26 | $97.72 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $645.65 Median $831.76 Typical High $977.24 | Professional | 22 · Increased work | $645.65 | $831.76 | $977.24 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,071.52 Median $1,380.38 Typical High $1,621.81 | Professional | 50 · Both sides | $1,071.52 | $1,380.38 | $1,621.81 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $138.04 Typical High $162.18 | Professional | 55 · Aftercare only | $107.15 | $138.04 | $162.18 |
Where North Dakota sits
The same service costs 5.1 times more in Wyoming 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· 8th of 51
$631
WY $1,202UT $234
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.