How much rates vary
Facilitymedian $166 · 10th to 90th $166 to $1,148Professionalmedian $427 · 10th to 90th $234 to $832
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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $467.74 | Professional | None (both parts) | $165.96 | $213.80 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $138.04 | Professional | 26 · Professional part | $42.66 | $56.23 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $346.74 | Professional | TC · Technical part | $123.03 | $151.36 | $346.74 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,737.80 | Facility | None | $1,148.15 | $1,148.15 | $1,737.80 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $524.81 | Professional | None (both parts) | $338.84 | $446.68 | $524.81 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $125.89 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $125.89 | $147.91 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $371.54 | Professional | TC · Technical part | $245.47 | $316.23 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $380.19 Typical High $602.56 | Professional | None (both parts) | $229.09 | $380.19 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $87.10 Typical High $144.54 | Professional | 26 · Professional part | $57.54 | $87.10 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $275.42 Typical High $467.74 | Professional | TC · Technical part | $177.83 | $275.42 | $467.74 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $2,511.89 | Facility | None | $165.96 | $165.96 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $549.54 Typical High $2,089.30 | Professional | None (both parts) | $281.84 | $549.54 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $123.03 Typical High $380.19 | Professional | 26 · Professional part | $61.66 | $123.03 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $426.58 Typical High $1,737.80 | Professional | TC · Technical part | $208.93 | $426.58 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $407.38 Typical High $549.54 | Professional | None (both parts) | $234.42 | $407.38 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $102.33 Typical High $131.83 | Professional | 26 · Professional part | $60.26 | $102.33 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $302.00 Typical High $446.68 | Professional | TC · Technical part | $173.78 | $302.00 | $446.68 |
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 $83.18 Median $93.33 Typical High $173.78 | Professional | 52 · Reduced service | $83.18 | $93.33 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.02 Typical High $70.79 | Professional | 53 · Discontinued | $33.11 | $38.02 | $70.79 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $407.38 Median $537.03 Typical High $630.96 | Professional | 22 · Increased work | $407.38 | $537.03 | $630.96 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $691.83 Median $891.25 Typical High $1,047.13 | Professional | 50 · Both sides | $691.83 | $891.25 | $1,047.13 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $89.13 Typical High $104.71 | Professional | 55 · Aftercare only | $69.18 | $89.13 | $104.71 |
Where North Dakota sits
The same service costs 5.1 times more in Alaska than in Utah. 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
$417
AK $776UT $151
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.