How much rates vary
Facilitymedian $155 · 10th to 90th $155 to $525Professionalmedian $288 · 10th to 90th $148 to $427
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 $154.88 Median $154.88 Typical High $630.96 | Facility | None | $154.88 | $154.88 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $346.74 | Professional | None (both parts) | $109.65 | $154.88 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $50.12 Typical High $107.15 | Professional | 26 · Professional part | $31.62 | $50.12 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $102.33 Typical High $251.19 | Professional | TC · Technical part | $79.43 | $102.33 | $251.19 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $263.03 | $338.84 | $398.11 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $128.82 | Professional | 26 · Professional part | $83.18 | $109.65 | $128.82 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $269.15 | Professional | TC · Technical part | $177.83 | $229.09 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $120.23 | $234.42 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $37.15 | $72.44 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $162.18 Typical High $275.42 | Professional | TC · Technical part | $81.28 | $162.18 | $275.42 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $524.81 | Facility | None | $154.88 | $154.88 | $524.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $302.00 Typical High $1,023.29 | Professional | None (both parts) | $147.91 | $302.00 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $81.28 Typical High $309.03 | Professional | 26 · Professional part | $50.12 | $81.28 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $234.42 Typical High $707.95 | Professional | TC · Technical part | $97.72 | $234.42 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $245.47 Typical High $302.00 | Professional | None (both parts) | $147.91 | $245.47 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $63.10 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $63.10 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $177.83 Typical High $234.42 | Professional | TC · Technical part | $97.72 | $177.83 | $234.42 |
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 $60.26 Median $77.62 Typical High $79.43 | Professional | 52 · Reduced service | $60.26 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $30.90 Typical High $31.62 | Professional | 53 · Discontinued | $23.99 | $30.90 | $31.62 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $316.23 Median $407.38 Typical High $478.63 | Professional | 22 · Increased work | $316.23 | $407.38 | $478.63 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $67.61 Typical High $79.43 | Professional | 55 · Aftercare only | $52.48 | $67.61 | $79.43 |
Where North Dakota sits
The same service costs 4.3 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
$282
AK $447UT $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.