How much rates vary
Facilitymedian $30 · 10th to 90th $30 to $102Professionalmedian $54 · 10th to 90th $28 to $81
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 $29.51 Median $29.51 Typical High $30.20 | Facility | None | $29.51 | $29.51 | $30.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $67.61 | Professional | None (both parts) | $25.12 | $29.51 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.51 Typical High $19.05 | Professional | 26 · Professional part | $7.24 | $8.51 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $48.98 | Professional | TC · Technical part | $17.78 | $20.89 | $48.98 |
BCBS North Dakota Setting Facility Modifier None Typical Low $85.11 Median $93.33 Typical High $112.20 | Facility | None | $85.11 | $93.33 | $112.20 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $51.29 Median $66.07 Typical High $79.43 | Professional | None (both parts) | $51.29 | $66.07 | $79.43 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $21.38 | Professional | 26 · Professional part | $14.13 | $18.20 | $21.38 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $38.02 | $48.98 | $57.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $44.67 Typical High $70.79 | Professional | None (both parts) | $26.30 | $44.67 | $70.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.75 Typical High $20.42 | Professional | 26 · Professional part | $7.59 | $11.75 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $33.88 Typical High $51.29 | Professional | TC · Technical part | $18.62 | $33.88 | $51.29 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $87.10 | Facility | None | $29.51 | $29.51 | $87.10 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.18 Median $56.23 Typical High $186.21 | Professional | None (both parts) | $28.18 | $56.23 | $186.21 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $16.98 Typical High $51.29 | Professional | 26 · Professional part | $8.32 | $16.98 | $51.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $38.90 Typical High $134.90 | Professional | TC · Technical part | $19.95 | $38.90 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $45.71 Typical High $60.26 | Professional | None (both parts) | $28.18 | $45.71 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.49 Typical High $18.20 | Professional | 26 · Professional part | $8.32 | $13.49 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $32.36 Typical High $40.74 | Professional | TC · Technical part | $19.95 | $32.36 | $40.74 |
3 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 $61.66 Median $79.43 Typical High $93.33 | Professional | 22 · Increased work | $61.66 | $79.43 | $93.33 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $102.33 Median $134.90 Typical High $158.49 | Professional | 50 · Both sides | $102.33 | $134.90 | $158.49 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $13.49 Typical High $15.85 | Professional | 55 · Aftercare only | $10.23 | $13.49 | $15.85 |
Where North Dakota sits
The same service costs 3.8 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· 9th of 51
$52.48
AK $87.10FL $22.91
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.