How much rates vary
Facilitymedian $102 · 10th to 90th $32 to $288Professionalmedian $58 · 10th to 90th $30 to $87
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 $31.62 Median $93.33 Typical High $302.00 | Facility | None | $31.62 | $93.33 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $72.44 | Professional | None (both parts) | $25.70 | $31.62 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.51 Typical High $18.20 | Professional | 26 · Professional part | $6.92 | $8.51 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $54.95 | Professional | TC · Technical part | $18.62 | $23.44 | $54.95 |
BCBS North Dakota Setting Facility Modifier None Typical Low $91.20 Median $109.65 Typical High $165.96 | Facility | None | $91.20 | $109.65 | $165.96 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $87.10 | Professional | None (both parts) | $57.54 | $74.13 | $87.10 |
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 $42.66 Median $54.95 Typical High $64.57 | Professional | TC · Technical part | $42.66 | $54.95 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $48.98 Typical High $75.86 | Professional | None (both parts) | $27.54 | $48.98 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $12.02 Typical High $19.50 | Professional | 26 · Professional part | $7.41 | $12.02 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $37.15 Typical High $58.88 | Professional | TC · Technical part | $20.89 | $37.15 | $58.88 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $95.50 Typical High $275.42 | Facility | None | $31.62 | $95.50 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.20 Median $60.26 Typical High $208.93 | Professional | None (both parts) | $30.20 | $60.26 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $16.98 Typical High $67.61 | Professional | 26 · Professional part | $8.32 | $16.98 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $42.66 Typical High $158.49 | Professional | TC · Technical part | $22.39 | $42.66 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $30.20 Median $50.12 Typical High $60.26 | Professional | None (both parts) | $30.20 | $50.12 | $60.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.49 Typical High $17.78 | Professional | 26 · Professional part | $8.32 | $13.49 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $36.31 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $36.31 | $42.66 |
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 $12.88 Median $15.85 Typical High $16.60 | Professional | 52 · Reduced service | $12.88 | $15.85 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $6.31 Typical High $6.61 | Professional | 53 · Discontinued | $5.25 | $6.31 | $6.61 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $67.61 Median $89.13 Typical High $104.71 | Professional | 22 · Increased work | $67.61 | $89.13 | $104.71 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $114.82 Median $147.91 Typical High $173.78 | Professional | 50 · Both sides | $114.82 | $147.91 | $173.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $14.79 Typical High $17.38 | Professional | 55 · Aftercare only | $11.48 | $14.79 | $17.38 |
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· 7th of 51
$60.26
AK $95.50FL $25.12
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.