How much rates vary
Facilitymedian $155 · 10th to 90th $52 to $363Professionalmedian $95 · 10th to 90th $50 to $148
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 $52.48 Median $56.23 Typical High $363.08 | Facility | None | $52.48 | $56.23 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $112.20 | Professional | None (both parts) | $44.67 | $52.48 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.14 Typical High $30.20 | Professional | 26 · Professional part | $12.30 | $15.14 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $79.43 | Professional | TC · Technical part | $30.90 | $37.15 | $79.43 |
BCBS North Dakota Setting Facility Modifier None Typical Low $154.88 Median $162.18 Typical High $457.09 | Facility | None | $154.88 | $162.18 | $457.09 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $144.54 | Professional | None (both parts) | $95.50 | $123.03 | $144.54 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $31.62 | $37.15 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $91.20 Typical High $107.15 | Professional | TC · Technical part | $70.79 | $91.20 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $83.18 Typical High $128.82 | Professional | None (both parts) | $48.98 | $83.18 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.89 Typical High $36.31 | Professional | 26 · Professional part | $13.49 | $20.89 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $61.66 Typical High $95.50 | Professional | TC · Technical part | $34.67 | $61.66 | $95.50 |
Medica Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $177.83 | Facility | None | $52.48 | $52.48 | $177.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $50.12 Median $97.72 Typical High $346.74 | Professional | None (both parts) | $50.12 | $97.72 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $30.20 Typical High $89.13 | Professional | 26 · Professional part | $14.45 | $30.20 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $67.61 Typical High $257.04 | Professional | TC · Technical part | $35.48 | $67.61 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $81.28 Typical High $107.15 | Professional | None (both parts) | $50.12 | $81.28 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $14.45 | $23.44 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $57.54 Typical High $72.44 | Professional | TC · Technical part | $35.48 | $57.54 | $72.44 |
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 $114.82 Median $147.91 Typical High $173.78 | Professional | 22 · Increased work | $114.82 | $147.91 | $173.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $24.55 Typical High $28.84 | Professional | 55 · Aftercare only | $19.05 | $24.55 | $28.84 |
Where North Dakota sits
The same service costs 4.8 times more in Alaska 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· 8th of 51
$95.50
AK $158UT $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.