How much rates vary
Facilitymedian $95 · 10th to 90th $32 to $331Professionalmedian $59 · 10th to 90th $30 to $91
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 $31.62 Median $33.88 Typical High $331.13 | Facility | None | $31.62 | $33.88 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $74.13 | Professional | None (both parts) | $26.92 | $31.62 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.55 Typical High $21.38 | Professional | 26 · Professional part | $8.13 | $9.55 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.39 Typical High $52.48 | Professional | TC · Technical part | $18.20 | $22.39 | $52.48 |
BCBS North Dakota Setting Facility Modifier None Typical Low $83.18 Median $120.23 Typical High $234.42 | Facility | None | $83.18 | $120.23 | $234.42 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $91.20 | Professional | None (both parts) | $58.88 | $75.86 | $91.20 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $20.42 Typical High $23.99 | Professional | 26 · Professional part | $15.85 | $20.42 | $23.99 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $56.23 Typical High $66.07 | Professional | TC · Technical part | $43.65 | $56.23 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $51.29 Typical High $79.43 | Professional | None (both parts) | $29.51 | $51.29 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $13.18 Typical High $22.91 | Professional | 26 · Professional part | $8.71 | $13.18 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $20.89 | $37.15 | $57.54 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $114.82 | Facility | None | $31.62 | $31.62 | $114.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $60.26 Typical High $208.93 | Professional | None (both parts) | $30.20 | $60.26 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $19.05 Typical High $57.54 | Professional | 26 · Professional part | $9.33 | $19.05 | $57.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $40.74 Typical High $151.36 | Professional | TC · Technical part | $21.38 | $40.74 | $151.36 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $50.12 Typical High $64.57 | Professional | None (both parts) | $30.20 | $50.12 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $15.14 Typical High $20.42 | Professional | 26 · Professional part | $9.33 | $15.14 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $34.67 Typical High $42.66 | Professional | TC · Technical part | $21.38 | $34.67 | $42.66 |
2 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $70.79 Median $91.20 Typical High $107.15 | Professional | 22 · Increased work | $70.79 | $91.20 | $107.15 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.49 Typical High $18.20 | Professional | 55 · Aftercare only | $11.75 | $15.49 | $18.20 |
Where North Dakota sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$60.26
AK $97.72FL $26.30
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.