How much rates vary
Facilitymedian $162 · 10th to 90th $46 to $372Professionalmedian $83 · 10th to 90th $44 to $132
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 $45.71 Median $223.87 Typical High $416.87 | Facility | None | $45.71 | $223.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $104.71 | Professional | None (both parts) | $38.02 | $45.71 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $23.44 | Professional | 26 · Professional part | $9.33 | $11.48 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.88 Typical High $79.43 | Professional | TC · Technical part | $27.54 | $33.88 | $79.43 |
BCBS North Dakota Setting Facility Modifier None Typical Low $102.33 Median $144.54 Typical High $204.17 | Facility | None | $102.33 | $144.54 | $204.17 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $85.11 | $109.65 | $131.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $28.84 | Professional | 26 · Professional part | $18.62 | $24.55 | $28.84 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $102.33 | Professional | TC · Technical part | $67.61 | $87.10 | $102.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $72.44 Typical High $114.82 | Professional | None (both parts) | $42.66 | $72.44 | $114.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $15.85 Typical High $27.54 | Professional | 26 · Professional part | $10.23 | $15.85 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $57.54 Typical High $87.10 | Professional | TC · Technical part | $31.62 | $57.54 | $87.10 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $190.55 Typical High $389.05 | Facility | None | $45.71 | $190.55 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $43.65 Median $83.18 Typical High $302.00 | Professional | None (both parts) | $43.65 | $83.18 | $302.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $22.39 Typical High $67.61 | Professional | 26 · Professional part | $12.88 | $22.39 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $60.26 Typical High $234.42 | Professional | TC · Technical part | $32.36 | $60.26 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $70.79 Typical High $91.20 | Professional | None (both parts) | $43.65 | $70.79 | $91.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $17.78 Typical High $24.55 | Professional | 26 · Professional part | $10.96 | $17.78 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $53.70 Typical High $64.57 | Professional | TC · Technical part | $32.36 | $53.70 | $64.57 |
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 $102.33 Median $131.83 Typical High $154.88 | Professional | 22 · Increased work | $102.33 | $131.83 | $154.88 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $22.39 Typical High $26.30 | Professional | 55 · Aftercare only | $16.98 | $22.39 | $26.30 |
Where North Dakota sits
The same service costs 11.7 times more in Vermont 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· 6th of 51
$93.33
VT $389UT $33.11
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.