How much rates vary
Facilitymedian $1,259 · 10th to 90th $141 to $3,548Professionalmedian $363 · 10th to 90th $195 to $550
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 $141.25 Median $1,348.96 Typical High $3,548.13 | Facility | None | $141.25 | $1,348.96 | $3,548.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $213.80 Typical High $467.74 | Professional | None (both parts) | $141.25 | $213.80 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $85.11 Typical High $194.98 | Professional | 26 · Professional part | $61.66 | $85.11 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $138.04 Typical High $288.40 | Professional | TC · Technical part | $79.43 | $138.04 | $288.40 |
BCBS North Dakota Setting Facility Modifier None Typical Low $691.83 Median $933.25 Typical High $1,698.24 | Facility | None | $691.83 | $933.25 | $1,698.24 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $489.78 | Professional | None (both parts) | $323.59 | $416.87 | $489.78 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $181.97 | $213.80 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $275.42 | Professional | TC · Technical part | $181.97 | $234.42 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $302.00 Typical High $489.78 | Professional | None (both parts) | $218.78 | $302.00 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $123.03 Typical High $213.80 | Professional | 26 · Professional part | $81.28 | $123.03 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $165.96 Typical High $281.84 | Professional | TC · Technical part | $117.49 | $165.96 | $281.84 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $1,445.44 Typical High $2,344.23 | Facility | None | $141.25 | $1,445.44 | $2,344.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $407.38 Typical High $1,230.27 | Professional | None (both parts) | $204.17 | $407.38 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $173.78 Typical High $524.81 | Professional | 26 · Professional part | $100.00 | $173.78 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $229.09 Typical High $1,318.26 | Professional | TC · Technical part | $114.82 | $229.09 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $331.13 Typical High $446.68 | Professional | None (both parts) | $199.53 | $331.13 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $144.54 Typical High $190.55 | Professional | 26 · Professional part | $89.13 | $144.54 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $186.21 Typical High $257.04 | Professional | TC · Technical part | $114.82 | $186.21 | $257.04 |
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 $389.05 Median $501.19 Typical High $588.84 | Professional | 22 · Increased work | $389.05 | $501.19 | $588.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $83.18 Typical High $97.72 | Professional | 55 · Aftercare only | $64.57 | $83.18 | $97.72 |
Where North Dakota sits
The same service costs 18.2 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
$407
VT $1,995UT $110
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.