How much rates vary
Facilitymedian $56 · 10th to 90th $56 to $170Professionalmedian $105 · 10th to 90th $54 to $170
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 $56.23 Median $56.23 Typical High $63.10 | Facility | None | $56.23 | $56.23 | $63.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $56.23 Typical High $138.04 | Professional | None (both parts) | $46.77 | $56.23 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.80 Typical High $31.62 | Professional | 26 · Professional part | $11.75 | $13.80 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $107.15 | Professional | TC · Technical part | $33.88 | $42.66 | $107.15 |
BCBS North Dakota Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $181.97 | Facility | None | $154.88 | $154.88 | $181.97 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $109.65 | $141.25 | $169.82 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.20 Typical High $35.48 | Professional | 26 · Professional part | $23.44 | $30.20 | $35.48 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $87.10 | $112.20 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $93.33 Typical High $144.54 | Professional | None (both parts) | $53.70 | $93.33 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.95 Typical High $33.88 | Professional | 26 · Professional part | $12.59 | $19.95 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $74.13 Typical High $112.20 | Professional | TC · Technical part | $39.81 | $74.13 | $112.20 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $169.82 | Facility | None | $56.23 | $56.23 | $169.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $53.70 Median $104.71 Typical High $380.19 | Professional | None (both parts) | $53.70 | $104.71 | $380.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $28.84 Typical High $83.18 | Professional | 26 · Professional part | $13.49 | $28.84 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $75.86 Typical High $295.12 | Professional | TC · Technical part | $40.74 | $75.86 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $87.10 Typical High $112.20 | Professional | None (both parts) | $53.70 | $87.10 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $13.49 | $21.88 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $66.07 Typical High $83.18 | Professional | TC · Technical part | $40.74 | $66.07 | $83.18 |
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 $131.83 Median $169.82 Typical High $199.53 | Professional | 22 · Increased work | $131.83 | $169.82 | $199.53 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $21.88 Median $28.84 Typical High $33.88 | Professional | 55 · Aftercare only | $21.88 | $28.84 | $33.88 |
Where North Dakota sits
The same service costs 3.5 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· 8th of 51
$105
AK $162FL $46.77
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.