How much rates vary
Facilitymedian $170 · 10th to 90th $49 to $363Professionalmedian $58 · 10th to 90th $32 to $95
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 $33.11 Median $239.88 Typical High $380.19 | Facility | None | $33.11 | $239.88 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.11 Typical High $75.86 | Professional | None (both parts) | $28.84 | $33.11 | $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 $21.38 Median $24.55 Typical High $58.88 | Professional | TC · Technical part | $21.38 | $24.55 | $58.88 |
BCBS North Dakota Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $181.97 | Facility | None | $83.18 | $114.82 | $181.97 |
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 $45.71 Median $58.88 Typical High $69.18 | Professional | TC · Technical part | $45.71 | $58.88 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $30.20 | $51.29 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $12.02 Typical High $20.42 | Professional | 26 · Professional part | $7.76 | $12.02 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $39.81 Typical High $61.66 | Professional | TC · Technical part | $22.39 | $39.81 | $61.66 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $144.54 Typical High $229.09 | Facility | None | $33.11 | $144.54 | $229.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $31.62 Median $60.26 Typical High $223.87 | Professional | None (both parts) | $31.62 | $60.26 | $223.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $16.98 Typical High $70.79 | Professional | 26 · Professional part | $10.23 | $16.98 | $70.79 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $41.69 Typical High $169.82 | Professional | TC · Technical part | $23.44 | $41.69 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $31.62 Median $51.29 Typical High $64.57 | Professional | None (both parts) | $31.62 | $51.29 | $64.57 |
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 $23.44 Median $37.15 Typical High $44.67 | Professional | TC · Technical part | $23.44 | $37.15 | $44.67 |
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 $14.45 Median $16.60 Typical High $17.38 | Professional | 52 · Reduced service | $14.45 | $16.60 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.61 Typical High $6.92 | Professional | 53 · Discontinued | $5.75 | $6.61 | $6.92 |
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 15.1 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· 6th of 51
$70.79
VT $407FL $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.