How much rates vary
Facilitymedian $191 · 10th to 90th $191 to $1,905Professionalmedian $603 · 10th to 90th $324 to $1,096
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 $190.55 Median $190.55 Typical High $1,584.89 | Facility | None | $190.55 | $190.55 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $346.74 Typical High $676.08 | Professional | None (both parts) | $190.55 | $346.74 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $213.80 | Professional | 26 · Professional part | $63.10 | $87.10 | $213.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $257.04 Typical High $501.19 | Professional | TC · Technical part | $125.89 | $257.04 | $501.19 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,737.80 Median $1,778.28 Typical High $1,905.46 | Facility | None | $1,737.80 | $1,778.28 | $1,905.46 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $537.03 Median $691.83 Typical High $812.83 | Professional | None (both parts) | $537.03 | $691.83 | $812.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $190.55 Typical High $223.87 | Professional | 26 · Professional part | $147.91 | $190.55 | $223.87 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $501.19 Typical High $588.84 | Professional | TC · Technical part | $389.05 | $501.19 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $537.03 Typical High $912.01 | Professional | None (both parts) | $338.84 | $537.03 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $131.83 Typical High $218.78 | Professional | 26 · Professional part | $85.11 | $131.83 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $398.11 Typical High $660.69 | Professional | TC · Technical part | $251.19 | $398.11 | $660.69 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $1,513.56 | Facility | None | $190.55 | $190.55 | $1,513.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $616.60 Typical High $3,090.30 | Professional | None (both parts) | $338.84 | $616.60 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $181.97 Typical High $660.69 | Professional | 26 · Professional part | $93.33 | $181.97 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $436.52 Typical High $2,630.27 | Professional | TC · Technical part | $239.88 | $436.52 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $537.03 Typical High $741.31 | Professional | None (both parts) | $331.13 | $537.03 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $151.36 Typical High $204.17 | Professional | 26 · Professional part | $91.20 | $151.36 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $389.05 Typical High $588.84 | Professional | TC · Technical part | $234.42 | $389.05 | $588.84 |
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 $95.50 Median $128.82 Typical High $208.93 | Professional | 52 · Reduced service | $95.50 | $128.82 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $51.29 Typical High $83.18 | Professional | 53 · Discontinued | $38.02 | $51.29 | $83.18 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $645.65 Median $831.76 Typical High $977.24 | Professional | 22 · Increased work | $645.65 | $831.76 | $977.24 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $138.04 Typical High $162.18 | Professional | 55 · Aftercare only | $107.15 | $138.04 | $162.18 |
Where North Dakota sits
The same service costs 6.0 times more in Alaska than in Texas. 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· 6th of 51
$603
AK $1,023TX $170
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.