How much rates vary
Facilitymedian $138 · 10th to 90th $138 to $661Professionalmedian $251 · 10th to 90th $135 to $380
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 $138.04 Median $138.04 Typical High $660.69 | Facility | None | $138.04 | $138.04 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $316.23 | Professional | None (both parts) | $109.65 | $138.04 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $97.72 | Professional | 26 · Professional part | $31.62 | $43.65 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $223.87 | Professional | TC · Technical part | $79.43 | $97.72 | $223.87 |
BCBS North Dakota Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $234.42 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $234.42 | $309.03 | $363.08 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $95.50 | $112.20 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $251.19 | Professional | TC · Technical part | $162.18 | $208.93 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $109.65 | $208.93 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $63.10 Typical High $97.72 | Professional | 26 · Professional part | $37.15 | $63.10 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $147.91 Typical High $239.88 | Professional | TC · Technical part | $74.13 | $147.91 | $239.88 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $199.53 Typical High $524.81 | Facility | None | $138.04 | $199.53 | $524.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $257.04 Typical High $933.25 | Professional | None (both parts) | $134.90 | $257.04 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $77.62 Typical High $269.15 | Professional | 26 · Professional part | $43.65 | $77.62 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $186.21 Typical High $660.69 | Professional | TC · Technical part | $89.13 | $186.21 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $257.04 | Professional | None (both parts) | $134.90 | $218.78 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $41.69 | $63.10 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $147.91 Typical High $186.21 | Professional | TC · Technical part | $89.13 | $147.91 | $186.21 |
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 $54.95 Median $69.18 Typical High $72.44 | Professional | 52 · Reduced service | $54.95 | $69.18 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $28.18 Typical High $28.84 | Professional | 53 · Discontinued | $21.88 | $28.18 | $28.84 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $281.84 Median $363.08 Typical High $436.52 | Professional | 22 · Increased work | $281.84 | $363.08 | $436.52 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $61.66 Typical High $72.44 | Professional | 55 · Aftercare only | $47.86 | $61.66 | $72.44 |
Where North Dakota sits
The same service costs 3.9 times more in Alaska 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
$245
AK $407UT $105
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.