How much rates vary
Facilitymedian $107 · 10th to 90th $107 to $251Professionalmedian $219 · 10th to 90th $62 to $316
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $107.15 Typical High $229.09 | Professional | None (both parts) | $100.00 | $107.15 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $27.54 Typical High $60.26 | Professional | 26 · Professional part | $25.12 | $27.54 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $81.28 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $81.28 | $169.82 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $323.59 | Professional | None (both parts) | $218.78 | $295.12 | $323.59 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $67.61 | Professional | 26 · Professional part | $43.65 | $58.88 | $67.61 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $234.42 Typical High $257.04 | Professional | TC · Technical part | $173.78 | $234.42 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $288.40 | Facility | None | $251.19 | $251.19 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $213.80 Typical High $295.12 | Professional | None (both parts) | $91.20 | $213.80 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $21.88 | $38.02 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $177.83 Typical High $239.88 | Professional | TC · Technical part | $70.79 | $177.83 | $239.88 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $190.55 | Facility | None | $107.15 | $107.15 | $190.55 |
Medica Setting Professional Modifier None (both parts) Typical Low $42.66 Median $104.71 Typical High $724.44 | Professional | None (both parts) | $42.66 | $104.71 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $46.77 Typical High $199.53 | Professional | 26 · Professional part | $26.30 | $46.77 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $6.03 Median $109.65 Typical High $588.84 | Professional | TC · Technical part | $6.03 | $109.65 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $134.90 Typical High $251.19 | Professional | None (both parts) | $53.70 | $134.90 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $32.36 Typical High $53.70 | Professional | 26 · Professional part | $20.89 | $32.36 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $6.76 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $6.76 | $109.65 | $204.17 |
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 $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $50.12 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $20.42 | $21.88 | $21.88 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $263.03 Median $354.81 Typical High $389.05 | Professional | 22 · Increased work | $263.03 | $354.81 | $389.05 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $58.88 Typical High $64.57 | Professional | 55 · Aftercare only | $43.65 | $58.88 | $64.57 |
Where North Dakota sits
The same service costs 4.0 times more in Alaska 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· 5th of 51
$214
AK $302FL $75.86
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.