How much rates vary
Facilitymedian $129 · 10th to 90th $34 to $363Professionalmedian $60 · 10th to 90th $32 to $93
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 $33.88 Median $239.88 Typical High $457.09 | Facility | None | $33.88 | $239.88 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.88 Typical High $75.86 | Professional | None (both parts) | $27.54 | $33.88 | $75.86 |
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 $19.50 Median $25.12 Typical High $58.88 | Professional | TC · Technical part | $19.50 | $25.12 | $58.88 |
BCBS North Dakota Setting Facility Modifier None Typical Low $87.10 Median $107.15 Typical High $190.55 | Facility | None | $87.10 | $107.15 | $190.55 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $60.26 Median $79.43 Typical High $91.20 | Professional | None (both parts) | $60.26 | $79.43 | $91.20 |
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 $46.77 Median $60.26 Typical High $70.79 | Professional | TC · Technical part | $46.77 | $60.26 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $51.29 Typical High $81.28 | Professional | None (both parts) | $29.51 | $51.29 | $81.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.88 Typical High $20.42 | Professional | 26 · Professional part | $7.59 | $12.88 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $39.81 Typical High $63.10 | Professional | TC · Technical part | $22.39 | $39.81 | $63.10 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $123.03 Typical High $213.80 | Facility | None | $33.88 | $123.03 | $213.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $32.36 Median $61.66 Typical High $218.78 | Professional | None (both parts) | $32.36 | $61.66 | $218.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $16.98 Typical High $67.61 | Professional | 26 · Professional part | $8.71 | $16.98 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $44.67 Typical High $169.82 | Professional | TC · Technical part | $23.99 | $44.67 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $52.48 Typical High $61.66 | Professional | None (both parts) | $32.36 | $52.48 | $61.66 |
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 $23.99 Median $38.90 Typical High $46.77 | Professional | TC · Technical part | $23.99 | $38.90 | $46.77 |
5 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $16.60 Typical High $17.38 | Professional | 52 · Reduced service | $13.80 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.76 Typical High $7.08 | Professional | 53 · Discontinued | $5.50 | $6.76 | $7.08 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $72.44 Median $93.33 Typical High $109.65 | Professional | 22 · Increased work | $72.44 | $93.33 | $109.65 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $120.23 Median $154.88 Typical High $181.97 | Professional | 50 · Both sides | $120.23 | $154.88 | $181.97 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $15.49 Typical High $18.20 | Professional | 55 · Aftercare only | $12.02 | $15.49 | $18.20 |
Where North Dakota sits
The same service costs 12.9 times more in Vermont 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
$64.57
VT $347FL $26.92
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.