How much rates vary
Facilitymedian $170 · 10th to 90th $170 to $891Professionalmedian $263 · 10th to 90th $100 to $389
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 $169.82 Median $169.82 Typical High $1,096.48 | Facility | None | $169.82 | $169.82 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $169.82 Typical High $239.88 | Professional | None (both parts) | $104.71 | $169.82 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $29.51 | $45.71 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $123.03 | $169.82 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $263.03 Median $346.74 Typical High $389.05 | Professional | None (both parts) | $263.03 | $346.74 | $389.05 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $74.13 | Professional | 26 · Professional part | $48.98 | $63.10 | $74.13 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $281.84 Typical High $309.03 | Professional | TC · Technical part | $213.80 | $281.84 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $338.84 | Facility | None | $295.12 | $295.12 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $89.13 | $251.19 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $23.44 | $51.29 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $213.80 Typical High $295.12 | Professional | TC · Technical part | $66.07 | $213.80 | $295.12 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $512.86 | Facility | None | $169.82 | $169.82 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $69.18 Median $138.04 Typical High $933.25 | Professional | None (both parts) | $69.18 | $138.04 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $77.62 Typical High $371.54 | Professional | 26 · Professional part | $44.67 | $77.62 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $7.59 Median $131.83 Typical High $831.76 | Professional | TC · Technical part | $7.59 | $131.83 | $831.76 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $177.83 Typical High $309.03 | Professional | None (both parts) | $87.10 | $177.83 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $52.48 Typical High $91.20 | Professional | 26 · Professional part | $31.62 | $52.48 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $8.13 Median $131.83 Typical High $245.47 | Professional | TC · Technical part | $8.13 | $131.83 | $245.47 |
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 $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $50.12 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $19.95 | $33.88 | $33.88 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $309.03 Median $416.87 Typical High $467.74 | Professional | 22 · Increased work | $309.03 | $416.87 | $467.74 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $69.18 Typical High $77.62 | Professional | 55 · Aftercare only | $52.48 | $69.18 | $77.62 |
Where North Dakota sits
The same service costs 4.2 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· 6th of 51
$251
NE $380FL $91.20
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.