How much rates vary
Facilitymedian $398 · 10th to 90th $398 to $676Professionalmedian $692 · 10th to 90th $398 to $1,202
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 $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $398.11 Typical High $707.95 | Professional | None (both parts) | $346.74 | $398.11 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $154.88 | Professional | 26 · Professional part | $75.86 | $81.28 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $309.03 Typical High $562.34 | Professional | TC · Technical part | $269.15 | $309.03 | $562.34 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $575.44 Median $741.31 Typical High $891.25 | Professional | None (both parts) | $575.44 | $741.31 | $891.25 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $169.82 Typical High $199.53 | Professional | 26 · Professional part | $131.83 | $169.82 | $199.53 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $575.44 Typical High $676.08 | Professional | TC · Technical part | $446.68 | $575.44 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $645.65 Typical High $1,000.00 | Professional | None (both parts) | $389.05 | $645.65 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $75.86 | $114.82 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $501.19 Typical High $831.76 | Professional | TC · Technical part | $295.12 | $501.19 | $831.76 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $3,235.94 | Facility | None | $398.11 | $398.11 | $3,235.94 |
Medica Setting Professional Modifier None (both parts) Typical Low $416.87 Median $812.83 Typical High $3,388.44 | Professional | None (both parts) | $416.87 | $812.83 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $162.18 Typical High $524.81 | Professional | 26 · Professional part | $83.18 | $162.18 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $645.65 Typical High $2,951.21 | Professional | TC · Technical part | $354.81 | $645.65 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $691.83 Typical High $891.25 | Professional | None (both parts) | $398.11 | $691.83 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $141.25 Typical High $186.21 | Professional | 26 · Professional part | $81.28 | $141.25 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $537.03 Typical High $741.31 | Professional | TC · Technical part | $309.03 | $537.03 | $741.31 |
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 $173.78 Median $194.98 Typical High $302.00 | Professional | 52 · Reduced service | $173.78 | $194.98 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $79.43 Typical High $120.23 | Professional | 53 · Discontinued | $69.18 | $79.43 | $120.23 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $691.83 Median $891.25 Typical High $1,047.13 | Professional | 22 · Increased work | $691.83 | $891.25 | $1,047.13 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,148.15 Median $1,513.56 Typical High $1,778.28 | Professional | 50 · Both sides | $1,148.15 | $1,513.56 | $1,778.28 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $151.36 Typical High $177.83 | Professional | 55 · Aftercare only | $114.82 | $151.36 | $177.83 |
Where North Dakota sits
The same service costs 5.4 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· 9th of 51
$676
WY $1,318UT $245
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.