How much rates vary
Facilitymedian $145 · 10th to 90th $49 to $219Professionalmedian $89 · 10th to 90th $47 to $145
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 $48.98 Median $48.98 Typical High $218.78 | Facility | None | $48.98 | $48.98 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $120.23 | Professional | None (both parts) | $41.69 | $48.98 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $36.31 | Professional | 26 · Professional part | $13.49 | $16.22 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $83.18 | Professional | TC · Technical part | $28.18 | $33.88 | $83.18 |
BCBS North Dakota Setting Facility Modifier None Typical Low $134.90 Median $162.18 Typical High $234.42 | Facility | None | $134.90 | $162.18 | $234.42 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $87.10 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $87.10 | $112.20 | $131.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $33.88 | $39.81 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $77.62 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $75.86 Typical High $123.03 | Professional | None (both parts) | $44.67 | $75.86 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $22.91 Typical High $39.81 | Professional | 26 · Professional part | $14.45 | $22.91 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $53.70 Typical High $83.18 | Professional | TC · Technical part | $30.90 | $53.70 | $83.18 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $154.88 | Facility | None | $48.98 | $48.98 | $154.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $48.98 Median $89.13 Typical High $323.59 | Professional | None (both parts) | $48.98 | $89.13 | $323.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $32.36 Typical High $128.82 | Professional | 26 · Professional part | $15.49 | $32.36 | $128.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $57.54 Typical High $251.19 | Professional | TC · Technical part | $31.62 | $57.54 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $75.86 Typical High $102.33 | Professional | None (both parts) | $46.77 | $75.86 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $25.12 Typical High $34.67 | Professional | 26 · Professional part | $15.49 | $25.12 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $51.29 Typical High $64.57 | Professional | TC · Technical part | $30.90 | $51.29 | $64.57 |
4 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 $21.88 Median $24.55 Typical High $25.70 | Professional | 52 · Reduced service | $21.88 | $24.55 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $9.77 Typical High $10.23 | Professional | 53 · Discontinued | $8.71 | $9.77 | $10.23 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $104.71 Median $134.90 Typical High $158.49 | Professional | 22 · Increased work | $104.71 | $134.90 | $158.49 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $22.39 Typical High $26.30 | Professional | 55 · Aftercare only | $17.38 | $22.39 | $26.30 |
Where North Dakota sits
The same service costs 4.5 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· 8th of 51
$89.13
AK $148UT $33.11
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.