How much rates vary
Facilitymedian $251 · 10th to 90th $251 to $457Professionalmedian $447 · 10th to 90th $234 to $676
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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $165.96 | $251.19 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $104.71 Typical High $134.90 | Professional | 26 · Professional part | $87.10 | $104.71 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $147.91 Typical High $199.53 | Professional | TC · Technical part | $79.43 | $147.91 | $199.53 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $489.78 Median $645.65 Typical High $724.44 | Professional | None (both parts) | $489.78 | $645.65 | $724.44 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $239.88 Typical High $275.42 | Professional | 26 · Professional part | $181.97 | $239.88 | $275.42 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $407.38 Typical High $457.09 | Professional | TC · Technical part | $309.03 | $407.38 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $524.81 | Facility | None | $457.09 | $457.09 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $218.78 | $398.11 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $151.36 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $151.36 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $251.19 Typical High $346.74 | Professional | TC · Technical part | $131.83 | $251.19 | $346.74 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $436.52 | Facility | None | $251.19 | $251.19 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $380.19 Typical High $1,698.24 | Professional | None (both parts) | $204.17 | $380.19 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $177.83 Typical High $630.96 | Professional | 26 · Professional part | $100.00 | $177.83 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $190.55 Typical High $1,047.13 | Professional | TC · Technical part | $117.49 | $190.55 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $302.00 Typical High $446.68 | Professional | None (both parts) | $190.55 | $302.00 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $123.03 Typical High $208.93 | Professional | 26 · Professional part | $79.43 | $123.03 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $177.83 Typical High $257.04 | Professional | TC · Technical part | $112.20 | $177.83 | $257.04 |
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 $123.03 Median $125.89 Typical High $134.90 | Professional | 52 · Reduced service | $123.03 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $50.12 Typical High $53.70 | Professional | 53 · Discontinued | $48.98 | $50.12 | $53.70 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $588.84 Median $776.25 Typical High $870.96 | Professional | 22 · Increased work | $588.84 | $776.25 | $870.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $128.82 Typical High $147.91 | Professional | 55 · Aftercare only | $97.72 | $128.82 | $147.91 |
Where North Dakota sits
The same service costs 5.4 times more in Alaska than in Texas. 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
$427
AK $741TX $138
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.