How much rates vary
Facilitymedian $309 · 10th to 90th $309 to $1,622Professionalmedian $589 · 10th to 90th $309 to $1,148
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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $309.03 Typical High $660.69 | Professional | None (both parts) | $275.42 | $309.03 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $177.83 | Professional | 26 · Professional part | $75.86 | $81.28 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $223.87 Typical High $501.19 | Professional | TC · Technical part | $194.98 | $223.87 | $501.19 |
BCBS North Dakota Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,621.81 | Facility | None | $537.03 | $537.03 | $1,621.81 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $457.09 Median $588.84 Typical High $691.83 | Professional | None (both parts) | $457.09 | $588.84 | $691.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $169.82 Typical High $199.53 | Professional | 26 · Professional part | $131.83 | $169.82 | $199.53 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $426.58 Typical High $501.19 | Professional | TC · Technical part | $331.13 | $426.58 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $891.25 | Professional | None (both parts) | $309.03 | $512.86 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $190.55 | Professional | 26 · Professional part | $75.86 | $114.82 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $660.69 | Professional | TC · Technical part | $218.78 | $371.54 | $660.69 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $2,570.40 | Facility | None | $309.03 | $309.03 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $812.83 Typical High $3,311.31 | Professional | None (both parts) | $371.54 | $812.83 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $162.18 Typical High $616.60 | Professional | 26 · Professional part | $83.18 | $162.18 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $660.69 Typical High $2,951.21 | Professional | TC · Technical part | $269.15 | $660.69 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $562.34 Typical High $812.83 | Professional | None (both parts) | $309.03 | $562.34 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $141.25 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $141.25 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $426.58 Typical High $660.69 | Professional | TC · Technical part | $223.87 | $426.58 | $660.69 |
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 $138.04 Median $154.88 Typical High $295.12 | Professional | 52 · Reduced service | $138.04 | $154.88 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $61.66 Typical High $117.49 | Professional | 53 · Discontinued | $54.95 | $61.66 | $117.49 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $549.54 Median $707.95 Typical High $831.76 | Professional | 22 · Increased work | $549.54 | $707.95 | $831.76 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $912.01 Median $1,174.90 Typical High $1,412.54 | Professional | 50 · Both sides | $912.01 | $1,174.90 | $1,412.54 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $117.49 Typical High $141.25 | Professional | 55 · Aftercare only | $91.20 | $117.49 | $141.25 |
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· 11th of 51
$575
WY $1,047UT $191
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.