How much rates vary
Facilitymedian $42 · 10th to 90th $42 to $117Professionalmedian $76 · 10th to 90th $40 to $115
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 $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $41.69 Typical High $97.72 | Professional | None (both parts) | $35.48 | $41.69 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.49 Typical High $30.20 | Professional | 26 · Professional part | $11.48 | $13.49 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.18 Typical High $67.61 | Professional | TC · Technical part | $23.44 | $28.18 | $67.61 |
BCBS North Dakota Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $213.80 | Facility | None | $117.49 | $117.49 | $213.80 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $74.13 | $95.50 | $112.20 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $33.11 | Professional | 26 · Professional part | $21.88 | $28.18 | $33.11 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $79.43 | Professional | TC · Technical part | $52.48 | $67.61 | $79.43 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $64.57 Typical High $102.33 | Professional | None (both parts) | $38.90 | $64.57 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.05 Typical High $33.11 | Professional | 26 · Professional part | $12.30 | $19.05 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $45.71 Typical High $70.79 | Professional | TC · Technical part | $26.30 | $45.71 | $70.79 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $125.89 | Facility | None | $41.69 | $41.69 | $125.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $39.81 Median $77.62 Typical High $275.42 | Professional | None (both parts) | $39.81 | $77.62 | $275.42 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $27.54 Typical High $81.28 | Professional | 26 · Professional part | $13.18 | $27.54 | $81.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $50.12 Typical High $194.98 | Professional | TC · Technical part | $26.92 | $50.12 | $194.98 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $66.07 Typical High $85.11 | Professional | None (both parts) | $39.81 | $66.07 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $21.38 Typical High $28.84 | Professional | 26 · Professional part | $12.88 | $21.38 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $44.67 Typical High $53.70 | Professional | TC · Technical part | $26.92 | $44.67 | $53.70 |
2 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $89.13 Median $114.82 Typical High $134.90 | Professional | 22 · Increased work | $89.13 | $114.82 | $134.90 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $19.05 Typical High $22.39 | Professional | 55 · Aftercare only | $14.79 | $19.05 | $22.39 |
Where North Dakota sits
The same service costs 4.1 times more in Alaska than in New York. 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
$74.13
AK $126NY $30.90
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.