How much rates vary
Facilitymedian $2,291 · 10th to 90th $398 to $3,548Professionalmedian $741 · 10th to 90th $398 to $1,445
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 $398.11 Median $2,398.83 Typical High $4,466.84 | Facility | None | $398.11 | $2,398.83 | $4,466.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $524.81 Typical High $1,047.13 | Professional | None (both parts) | $354.81 | $524.81 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $141.25 Typical High $288.40 | Professional | 26 · Professional part | $102.33 | $141.25 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $371.54 Typical High $776.25 | Professional | TC · Technical part | $251.19 | $371.54 | $776.25 |
BCBS North Dakota Setting Facility Modifier None Typical Low $2,089.30 Median $2,754.23 Typical High $3,548.13 | Facility | None | $2,089.30 | $2,754.23 | $3,548.13 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $588.84 Median $758.58 Typical High $891.25 | Professional | None (both parts) | $588.84 | $758.58 | $891.25 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $229.09 Typical High $269.15 | Professional | 26 · Professional part | $177.83 | $229.09 | $269.15 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $537.03 Typical High $630.96 | Professional | TC · Technical part | $416.87 | $537.03 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $660.69 Typical High $1,174.90 | Professional | None (both parts) | $398.11 | $660.69 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $154.88 Typical High $269.15 | Professional | 26 · Professional part | $104.71 | $154.88 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $467.74 Typical High $1,047.13 | Professional | TC · Technical part | $275.42 | $467.74 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $398.11 Median $1,819.70 Typical High $3,311.31 | Facility | None | $398.11 | $1,819.70 | $3,311.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,023.29 Typical High $6,025.60 | Professional | None (both parts) | $478.63 | $1,023.29 | $6,025.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $229.09 Typical High $891.25 | Professional | 26 · Professional part | $112.20 | $229.09 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $794.33 Typical High $5,495.41 | Professional | TC · Technical part | $338.84 | $794.33 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $707.95 Typical High $1,023.29 | Professional | None (both parts) | $398.11 | $707.95 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $190.55 Typical High $263.03 | Professional | 26 · Professional part | $109.65 | $190.55 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $537.03 Typical High $912.01 | Professional | TC · Technical part | $288.40 | $537.03 | $912.01 |
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 $177.83 Median $199.53 Typical High $331.13 | Professional | 52 · Reduced service | $177.83 | $199.53 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $79.43 Typical High $131.83 | Professional | 53 · Discontinued | $70.79 | $79.43 | $131.83 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $707.95 Median $912.01 Typical High $1,071.52 | Professional | 22 · Increased work | $707.95 | $912.01 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $151.36 Typical High $177.83 | Professional | 55 · Aftercare only | $117.49 | $151.36 | $177.83 |
Where North Dakota sits
The same service costs 5.8 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· 8th of 51
$776
WY $1,349UT $234
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.