How much rates vary
Facilitymedian $195 · 10th to 90th $195 to $1,995Professionalmedian $646 · 10th to 90th $355 to $1,072
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 $194.98 Median $194.98 Typical High $281.84 | Facility | None | $194.98 | $194.98 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $371.54 Typical High $676.08 | Professional | None (both parts) | $194.98 | $371.54 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $91.20 Typical High $213.80 | Professional | 26 · Professional part | $66.07 | $91.20 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $269.15 Typical High $478.63 | Professional | TC · Technical part | $125.89 | $269.15 | $478.63 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,621.81 Median $1,995.26 Typical High $1,995.26 | Facility | None | $1,621.81 | $1,995.26 | $1,995.26 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $562.34 Median $724.44 Typical High $851.14 | Professional | None (both parts) | $562.34 | $724.44 | $851.14 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $199.53 Typical High $234.42 | Professional | 26 · Professional part | $151.36 | $199.53 | $234.42 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $537.03 Typical High $630.96 | Professional | TC · Technical part | $416.87 | $537.03 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $524.81 Typical High $891.25 | Professional | None (both parts) | $380.19 | $524.81 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $134.90 Typical High $223.87 | Professional | 26 · Professional part | $89.13 | $134.90 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $398.11 Typical High $676.08 | Professional | TC · Technical part | $275.42 | $398.11 | $676.08 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $2,511.89 | Facility | None | $194.98 | $194.98 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $707.95 Typical High $2,884.03 | Professional | None (both parts) | $380.19 | $707.95 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $190.55 Typical High $562.34 | Professional | 26 · Professional part | $95.50 | $190.55 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $524.81 Typical High $2,398.83 | Professional | TC · Technical part | $288.40 | $524.81 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $588.84 Typical High $758.58 | Professional | None (both parts) | $363.08 | $588.84 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $158.49 Typical High $204.17 | Professional | 26 · Professional part | $91.20 | $158.49 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $446.68 Typical High $588.84 | Professional | TC · Technical part | $263.03 | $446.68 | $588.84 |
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 $97.72 Median $128.82 Typical High $234.42 | Professional | 52 · Reduced service | $97.72 | $128.82 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $51.29 Typical High $93.33 | Professional | 53 · Discontinued | $38.90 | $51.29 | $93.33 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $676.08 Median $870.96 Typical High $1,023.29 | Professional | 22 · Increased work | $676.08 | $870.96 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,122.02 Median $1,479.11 Typical High $1,737.80 | Professional | 50 · Both sides | $1,122.02 | $1,479.11 | $1,737.80 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $112.20 Median $147.91 Typical High $173.78 | Professional | 55 · Aftercare only | $112.20 | $147.91 | $173.78 |
Where North Dakota sits
The same service costs 6.2 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· 6th of 51
$646
AK $1,047UT $170
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.