How much rates vary
Facilitymedian $1,862 · 10th to 90th $229 to $3,162Professionalmedian $437 · 10th to 90th $234 to $813
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 $229.09 Median $2,511.89 Typical High $3,162.28 | Facility | None | $229.09 | $2,511.89 | $3,162.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $218.78 | $363.08 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $104.71 Typical High $181.97 | Professional | 26 · Professional part | $66.07 | $104.71 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $151.36 | $257.04 | $467.74 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,047.13 Median $1,380.38 Typical High $2,089.30 | Facility | None | $1,047.13 | $1,380.38 | $2,089.30 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $363.08 Median $467.74 Typical High $549.54 | Professional | None (both parts) | $363.08 | $467.74 | $549.54 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $169.82 | Professional | 26 · Professional part | $109.65 | $141.25 | $169.82 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $323.59 Typical High $380.19 | Professional | TC · Technical part | $251.19 | $323.59 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $239.88 | $398.11 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $95.50 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $95.50 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $275.42 Typical High $489.78 | Professional | TC · Technical part | $165.96 | $275.42 | $489.78 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $1,659.59 Typical High $2,454.71 | Facility | None | $229.09 | $1,659.59 | $2,454.71 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $478.63 Typical High $2,818.38 | Professional | None (both parts) | $263.03 | $478.63 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $138.04 Typical High $524.81 | Professional | 26 · Professional part | $69.18 | $138.04 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $338.84 Typical High $2,454.71 | Professional | TC · Technical part | $186.21 | $338.84 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $234.42 | $398.11 | $602.56 |
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 $162.18 Median $288.40 Typical High $501.19 | Professional | TC · Technical part | $162.18 | $288.40 | $501.19 |
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 $104.71 Median $114.82 Typical High $245.47 | Professional | 52 · Reduced service | $104.71 | $114.82 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $45.71 Typical High $97.72 | Professional | 53 · Discontinued | $41.69 | $45.71 | $97.72 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $426.58 Median $562.34 Typical High $660.69 | Professional | 22 · Increased work | $426.58 | $562.34 | $660.69 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $724.44 Median $933.25 Typical High $1,096.48 | Professional | 50 · Both sides | $724.44 | $933.25 | $1,096.48 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $93.33 Typical High $109.65 | Professional | 55 · Aftercare only | $72.44 | $93.33 | $109.65 |
Where North Dakota sits
The same service costs 13.5 times more in Vermont 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
$479
VT $2,089UT $155
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.