How much rates vary
Facilitymedian $141 · 10th to 90th $141 to $269Professionalmedian $240 · 10th to 90th $83 to $355
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $131.83 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $34.67 | $38.02 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | TC · Technical part | $95.50 | $104.71 | $104.71 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $239.88 Median $316.23 Typical High $354.81 | Professional | None (both parts) | $239.88 | $316.23 | $354.81 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $83.18 | $93.33 |
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 $269.15 Median $269.15 Typical High $309.03 | Facility | None | $269.15 | $269.15 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $120.23 | $229.09 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $30.90 | $54.95 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $177.83 Typical High $245.47 | Professional | TC · Technical part | $83.18 | $177.83 | $245.47 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $251.19 | Facility | None | $141.25 | $141.25 | $251.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $58.88 Median $114.82 Typical High $851.14 | Professional | None (both parts) | $58.88 | $114.82 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $66.07 Typical High $275.42 | Professional | 26 · Professional part | $37.15 | $66.07 | $275.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $6.31 Median $109.65 Typical High $630.96 | Professional | TC · Technical part | $6.31 | $109.65 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $72.44 | $147.91 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $29.51 | $45.71 | $77.62 |
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 $66.07 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $66.07 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $26.30 | $28.18 | $28.18 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $281.84 Median $380.19 Typical High $426.58 | Professional | 22 · Increased work | $281.84 | $380.19 | $426.58 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $63.10 Typical High $70.79 | Professional | 55 · Aftercare only | $47.86 | $63.10 | $70.79 |
Where North Dakota sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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
$240
AK $389DC $87.10
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.