How much rates vary
Facilitymedian $138 · 10th to 90th $138 to $155Professionalmedian $229 · 10th to 90th $132 to $355
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $109.65 | $138.04 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $36.31 | Professional | 26 · Professional part | $25.12 | $28.84 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $81.28 | $109.65 | $144.54 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $204.17 | $269.15 | $316.23 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $72.44 | $85.11 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $229.09 | Professional | TC · Technical part | $151.36 | $194.98 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $177.83 Typical High $288.40 | Professional | None (both parts) | $107.15 | $177.83 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $26.92 | $44.67 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $125.89 | $213.80 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $416.87 | Facility | None | $138.04 | $138.04 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $234.42 Typical High $954.99 | Professional | None (both parts) | $131.83 | $234.42 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $56.23 Typical High $234.42 | Professional | 26 · Professional part | $28.18 | $56.23 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $181.97 Typical High $794.33 | Professional | TC · Technical part | $104.71 | $181.97 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $204.17 Typical High $251.19 | Professional | None (both parts) | $131.83 | $204.17 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $28.18 | $45.71 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $154.88 Typical High $199.53 | Professional | TC · Technical part | $104.71 | $154.88 | $199.53 |
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 $54.95 Median $69.18 Typical High $75.86 | Professional | 52 · Reduced service | $54.95 | $69.18 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $27.54 Typical High $30.20 | Professional | 53 · Discontinued | $21.88 | $27.54 | $30.20 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $245.47 Median $316.23 Typical High $380.19 | Professional | 22 · Increased work | $245.47 | $316.23 | $380.19 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $416.87 Median $537.03 Typical High $630.96 | Professional | 50 · Both sides | $416.87 | $537.03 | $630.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $53.70 Typical High $63.10 | Professional | 55 · Aftercare only | $41.69 | $53.70 | $63.10 |
Where North Dakota sits
The same service costs 3.5 times more in Alaska than in Texas. 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
$214
AK $355TX $100
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.