How much rates vary
Facilitymedian $166 · 10th to 90th $120 to $617Professionalmedian $219 · 10th to 90th $117 to $339
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 $120.23 Median $123.03 Typical High $954.99 | Facility | None | $120.23 | $123.03 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $281.84 | Professional | None (both parts) | $100.00 | $120.23 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $91.20 | Professional | 26 · Professional part | $30.90 | $40.74 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $190.55 | Professional | TC · Technical part | $70.79 | $81.28 | $190.55 |
BCBS North Dakota Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $213.80 | $275.42 | $323.59 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $66.07 | $85.11 | $100.00 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $190.55 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $186.21 Typical High $302.00 | Professional | None (both parts) | $100.00 | $186.21 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $33.11 | $57.54 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $128.82 Typical High $208.93 | Professional | TC · Technical part | $64.57 | $128.82 | $208.93 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $173.78 Typical High $457.09 | Facility | None | $120.23 | $173.78 | $457.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $229.09 Typical High $812.83 | Professional | None (both parts) | $117.49 | $229.09 | $812.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $69.18 Typical High $239.88 | Professional | 26 · Professional part | $39.81 | $69.18 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $158.49 Typical High $575.44 | Professional | TC · Technical part | $77.62 | $158.49 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $190.55 Typical High $229.09 | Professional | None (both parts) | $117.49 | $190.55 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $61.66 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $125.89 Typical High $158.49 | Professional | TC · Technical part | $77.62 | $125.89 | $158.49 |
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 $50.12 Median $60.26 Typical High $63.10 | Professional | 52 · Reduced service | $50.12 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $23.99 Typical High $25.70 | Professional | 53 · Discontinued | $20.42 | $23.99 | $25.70 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $257.04 Median $331.13 Typical High $389.05 | Professional | 22 · Increased work | $257.04 | $331.13 | $389.05 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $54.95 Typical High $64.57 | Professional | 55 · Aftercare only | $42.66 | $54.95 | $64.57 |
Where North Dakota sits
The same service costs 3.7 times more in Alaska than in Florida. 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
$219
AK $363FL $97.72
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.