How much rates vary
Facilitymedian $1,622 · 10th to 90th $263 to $2,692Professionalmedian $501 · 10th to 90th $263 to $1,023
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 $263.03 Median $2,187.76 Typical High $3,090.30 | Facility | None | $263.03 | $2,187.76 | $3,090.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $416.87 Typical High $691.83 | Professional | None (both parts) | $234.42 | $416.87 | $691.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $64.57 | $102.33 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $295.12 Typical High $524.81 | Professional | TC · Technical part | $169.82 | $295.12 | $524.81 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,288.25 Median $1,621.81 Typical High $2,454.71 | Facility | None | $1,288.25 | $1,621.81 | $2,454.71 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $588.84 | Professional | None (both parts) | $389.05 | $501.19 | $588.84 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $165.96 | Professional | 26 · Professional part | $109.65 | $141.25 | $165.96 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $363.08 Typical High $426.58 | Professional | TC · Technical part | $281.84 | $363.08 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $436.52 Typical High $758.58 | Professional | None (both parts) | $263.03 | $436.52 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $63.10 | $95.50 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $316.23 Typical High $575.44 | Professional | TC · Technical part | $186.21 | $316.23 | $575.44 |
Medica Setting Facility Modifier None Typical Low $263.03 Median $446.68 Typical High $2,570.40 | Facility | None | $263.03 | $446.68 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $741.31 Typical High $2,818.38 | Professional | None (both parts) | $316.23 | $741.31 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $134.90 Typical High $537.03 | Professional | 26 · Professional part | $69.18 | $134.90 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $602.56 Typical High $2,454.71 | Professional | TC · Technical part | $229.09 | $602.56 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $478.63 Typical High $741.31 | Professional | None (both parts) | $263.03 | $478.63 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $117.49 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $389.05 Typical High $602.56 | Professional | TC · Technical part | $190.55 | $389.05 | $602.56 |
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 $114.82 Median $128.82 Typical High $245.47 | Professional | 52 · Reduced service | $114.82 | $128.82 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $52.48 Typical High $97.72 | Professional | 53 · Discontinued | $46.77 | $52.48 | $97.72 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $467.74 Median $602.56 Typical High $707.95 | Professional | 22 · Increased work | $467.74 | $602.56 | $707.95 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $776.25 Median $1,023.29 Typical High $1,202.26 | Professional | 50 · Both sides | $776.25 | $1,023.29 | $1,202.26 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $102.33 Typical High $120.23 | Professional | 55 · Aftercare only | $77.62 | $102.33 | $120.23 |
Where North Dakota sits
The same service costs 5.5 times more in Wyoming 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· 8th of 51
$525
WY $891UT $162
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.