How much rates vary
Facilitymedian $355 · 10th to 90th $355 to $2,291Professionalmedian $661 · 10th to 90th $355 to $1,288
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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $758.58 | Professional | None (both parts) | $316.23 | $380.19 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $208.93 | Professional | 26 · Professional part | $81.28 | $93.33 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $602.56 | Professional | TC · Technical part | $229.09 | $281.84 | $602.56 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,949.84 Median $1,949.84 Typical High $2,818.38 | Facility | None | $1,949.84 | $1,949.84 | $2,818.38 |
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 $138.04 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $138.04 | $181.97 | $213.80 |
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 $354.81 Median $588.84 Typical High $977.24 | Professional | None (both parts) | $354.81 | $588.84 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $123.03 Typical High $204.17 | Professional | 26 · Professional part | $81.28 | $123.03 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $436.52 Typical High $776.25 | Professional | TC · Technical part | $257.04 | $436.52 | $776.25 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $2,951.21 | Facility | None | $354.81 | $354.81 | $2,951.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $426.58 Median $912.01 Typical High $3,388.44 | Professional | None (both parts) | $426.58 | $912.01 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $173.78 Typical High $660.69 | Professional | 26 · Professional part | $89.13 | $173.78 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $741.31 Typical High $2,951.21 | Professional | TC · Technical part | $323.59 | $741.31 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $616.60 Typical High $912.01 | Professional | None (both parts) | $354.81 | $616.60 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $151.36 Typical High $199.53 | Professional | 26 · Professional part | $85.11 | $151.36 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $501.19 Typical High $741.31 | Professional | TC · Technical part | $269.15 | $501.19 | $741.31 |
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 $158.49 Median $177.83 Typical High $295.12 | Professional | 52 · Reduced service | $158.49 | $177.83 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $70.79 Typical High $117.49 | Professional | 53 · Discontinued | $63.10 | $70.79 | $117.49 |
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 5.6 times more in Wyoming 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· 7th of 51
$661
WY $1,230UT $219
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.