How much rates vary
Facilitymedian $457 · 10th to 90th $457 to $3,388Professionalmedian $813 · 10th to 90th $457 to $1,445
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 $457.09 Median $457.09 Typical High $3,981.07 | Facility | None | $457.09 | $457.09 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $478.63 Typical High $1,174.90 | Professional | None (both parts) | $398.11 | $478.63 | $1,174.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $141.25 Typical High $281.84 | Professional | 26 · Professional part | $102.33 | $141.25 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $346.74 Typical High $912.01 | Professional | TC · Technical part | $302.00 | $346.74 | $912.01 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,949.84 Median $2,630.27 Typical High $3,388.44 | Facility | None | $1,949.84 | $2,630.27 | $3,388.44 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $676.08 Median $870.96 Typical High $1,023.29 | Professional | None (both parts) | $676.08 | $870.96 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $223.87 Typical High $269.15 | Professional | 26 · Professional part | $173.78 | $223.87 | $269.15 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $645.65 Typical High $758.58 | Professional | TC · Technical part | $501.19 | $645.65 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $758.58 Typical High $1,288.25 | Professional | None (both parts) | $446.68 | $758.58 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $154.88 Typical High $257.04 | Professional | 26 · Professional part | $102.33 | $154.88 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $562.34 Typical High $1,047.13 | Professional | TC · Technical part | $331.13 | $562.34 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,819.70 | Facility | None | $457.09 | $457.09 | $1,819.70 |
Medica Setting Professional Modifier None (both parts) Typical Low $524.81 Median $954.99 Typical High $6,025.60 | Professional | None (both parts) | $524.81 | $954.99 | $6,025.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $218.78 Typical High $891.25 | Professional | 26 · Professional part | $109.65 | $218.78 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $724.44 Typical High $5,495.41 | Professional | TC · Technical part | $398.11 | $724.44 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $794.33 Typical High $1,096.48 | Professional | None (both parts) | $457.09 | $794.33 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $186.21 Typical High $251.19 | Professional | 26 · Professional part | $104.71 | $186.21 | $251.19 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $602.56 Typical High $912.01 | Professional | TC · Technical part | $346.74 | $602.56 | $912.01 |
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 $199.53 Median $229.09 Typical High $346.74 | Professional | 52 · Reduced service | $199.53 | $229.09 | $346.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $91.20 Typical High $141.25 | Professional | 53 · Discontinued | $81.28 | $91.20 | $141.25 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $812.83 Median $1,047.13 Typical High $1,230.27 | Professional | 22 · Increased work | $812.83 | $1,047.13 | $1,230.27 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,348.96 Median $1,737.80 Typical High $2,041.74 | Professional | 50 · Both sides | $1,348.96 | $1,737.80 | $2,041.74 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $173.78 Typical High $204.17 | Professional | 55 · Aftercare only | $134.90 | $173.78 | $204.17 |
Where North Dakota sits
The same service costs 6.0 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· 10th of 51
$813
WY $1,549UT $257
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.