How much rates vary
Facilitymedian $832 · 10th to 90th $372 to $3,548Professionalmedian $646 · 10th to 90th $372 to $1,122
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 $371.54 Median $831.76 Typical High $4,265.80 | Facility | None | $371.54 | $831.76 | $4,265.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $501.19 Typical High $933.25 | Professional | None (both parts) | $323.59 | $501.19 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $123.03 Typical High $218.78 | Professional | 26 · Professional part | $77.62 | $123.03 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $371.54 Typical High $724.44 | Professional | TC · Technical part | $251.19 | $371.54 | $724.44 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,479.11 Median $2,137.96 Typical High $2,290.87 | Facility | None | $1,479.11 | $2,137.96 | $2,290.87 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $549.54 Median $707.95 Typical High $831.76 | Professional | None (both parts) | $549.54 | $707.95 | $831.76 |
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 $416.87 Median $537.03 Typical High $630.96 | Professional | TC · Technical part | $416.87 | $537.03 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $602.56 Typical High $977.24 | Professional | None (both parts) | $363.08 | $602.56 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $77.62 | $114.82 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $467.74 Typical High $831.76 | Professional | TC · Technical part | $275.42 | $467.74 | $831.76 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $457.09 Typical High $1,698.24 | Facility | None | $371.54 | $457.09 | $1,698.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $398.11 Median $758.58 Typical High $3,311.31 | Professional | None (both parts) | $398.11 | $758.58 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $162.18 Typical High $588.84 | Professional | 26 · Professional part | $83.18 | $162.18 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $602.56 Typical High $2,951.21 | Professional | TC · Technical part | $331.13 | $602.56 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $645.65 Typical High $831.76 | Professional | None (both parts) | $371.54 | $645.65 | $831.76 |
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 $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 $162.18 Median $186.21 Typical High $295.12 | Professional | 52 · Reduced service | $162.18 | $186.21 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $74.13 Typical High $117.49 | Professional | 53 · Discontinued | $64.57 | $74.13 | $117.49 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $660.69 Median $851.14 Typical High $1,000.00 | Professional | 22 · Increased work | $660.69 | $851.14 | $1,000.00 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,096.48 Median $1,412.54 Typical High $1,659.59 | Professional | 50 · Both sides | $1,096.48 | $1,412.54 | $1,659.59 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $141.25 Typical High $165.96 | Professional | 55 · Aftercare only | $109.65 | $141.25 | $165.96 |
Where North Dakota sits
The same service costs 5.4 times more in Wyoming than in Texas. 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
$646
WY $1,259TX $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.