How much rates vary
Facilitymedian $1,995 · 10th to 90th $316 to $4,074Professionalmedian $589 · 10th to 90th $309 to $851
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 $2,570.40 Typical High $4,073.80 | Facility | None | $229.09 | $2,570.40 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $338.84 Typical High $707.95 | Professional | None (both parts) | $229.09 | $338.84 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $199.53 | Professional | 26 · Professional part | $64.57 | $89.13 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $257.04 Typical High $512.86 | Professional | TC · Technical part | $165.96 | $257.04 | $512.86 |
BCBS North Dakota Setting Facility Modifier None Typical Low $562.34 Median $1,819.70 Typical High $2,238.72 | Facility | None | $562.34 | $1,819.70 | $2,238.72 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $524.81 Median $676.08 Typical High $794.33 | Professional | None (both parts) | $524.81 | $676.08 | $794.33 |
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 $380.19 Median $489.78 Typical High $575.44 | Professional | TC · Technical part | $380.19 | $489.78 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $478.63 Typical High $812.83 | Professional | None (both parts) | $346.74 | $478.63 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $128.82 Typical High $223.87 | Professional | 26 · Professional part | $87.10 | $128.82 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $346.74 Typical High $588.84 | Professional | TC · Technical part | $245.47 | $346.74 | $588.84 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $1,995.26 Typical High $3,235.94 | Facility | None | $229.09 | $1,995.26 | $3,235.94 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $630.96 Typical High $2,089.30 | Professional | None (both parts) | $331.13 | $630.96 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $181.97 Typical High $549.54 | Professional | 26 · Professional part | $112.20 | $181.97 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $446.68 Typical High $2,630.27 | Professional | TC · Technical part | $239.88 | $446.68 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $537.03 Typical High $660.69 | Professional | None (both parts) | $316.23 | $537.03 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $154.88 Typical High $199.53 | Professional | 26 · Professional part | $93.33 | $154.88 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $389.05 Typical High $537.03 | Professional | TC · Technical part | $239.88 | $389.05 | $537.03 |
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 $630.96 Median $812.83 Typical High $954.99 | Professional | 22 · Increased work | $630.96 | $812.83 | $954.99 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $138.04 Typical High $162.18 | Professional | 55 · Aftercare only | $104.71 | $138.04 | $162.18 |
Where North Dakota sits
The same service costs 15.8 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
$661
VT $3,162UT $200
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.