How much rates vary
Facilitymedian $102 · 10th to 90th $102 to $288Professionalmedian $282 · 10th to 90th $102 to $372
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $66.07 | $102.33 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $79.43 | Professional | 26 · Professional part | $22.91 | $35.48 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $66.07 Typical High $117.49 | Professional | TC · Technical part | $42.66 | $66.07 | $117.49 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $251.19 | $338.84 | $380.19 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $56.23 | $64.57 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $281.84 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $281.84 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $331.13 | Facility | None | $288.40 | $288.40 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $58.88 | $245.47 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $19.95 | $40.74 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $213.80 Typical High $295.12 | Professional | TC · Technical part | $39.81 | $213.80 | $295.12 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $102.33 Typical High $239.88 | Facility | None | $102.33 | $102.33 | $239.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $295.12 Typical High $891.25 | Professional | None (both parts) | $165.96 | $295.12 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $61.66 Typical High $346.74 | Professional | 26 · Professional part | $34.67 | $61.66 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $234.42 Typical High $812.83 | Professional | TC · Technical part | $131.83 | $234.42 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $346.74 | Professional | None (both parts) | $131.83 | $208.93 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $26.92 | $40.74 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $102.33 | $173.78 | $275.42 |
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 $31.62 Median $51.29 Typical High $51.29 | Professional | 52 · Reduced service | $31.62 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $12.88 | $20.42 | $20.42 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $302.00 Median $407.38 Typical High $446.68 | Professional | 22 · Increased work | $302.00 | $407.38 | $446.68 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $67.61 Typical High $75.86 | Professional | 55 · Aftercare only | $51.29 | $67.61 | $75.86 |
Where North Dakota sits
The same service costs 6.6 times more in Nebraska 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· 3rd of 51
$282
NE $363FL $54.95
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.