How much rates vary
Facilitymedian $41 · 10th to 90th $41 to $794Professionalmedian $76 · 10th to 90th $41 to $132
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 $40.74 Median $40.74 Typical High $1,071.52 | Facility | None | $40.74 | $40.74 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $104.71 | Professional | None (both parts) | $38.90 | $47.86 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.22 Typical High $35.48 | Professional | 26 · Professional part | $13.49 | $16.22 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $69.18 | Professional | TC · Technical part | $23.99 | $31.62 | $69.18 |
BCBS North Dakota Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $112.20 | Professional | None (both parts) | $74.13 | $95.50 | $112.20 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $33.88 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $33.88 | $39.81 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $70.79 | Professional | TC · Technical part | $46.77 | $60.26 | $70.79 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $66.07 Typical High $102.33 | Professional | None (both parts) | $37.15 | $66.07 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $22.39 Typical High $38.90 | Professional | 26 · Professional part | $14.45 | $22.39 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $43.65 Typical High $70.79 | Professional | TC · Technical part | $22.91 | $43.65 | $70.79 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $380.19 | Facility | None | $40.74 | $40.74 | $380.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $41.69 Median $75.86 Typical High $389.05 | Professional | None (both parts) | $41.69 | $75.86 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $32.36 Typical High $102.33 | Professional | 26 · Professional part | $15.49 | $32.36 | $102.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $44.67 Typical High $302.00 | Professional | TC · Technical part | $24.55 | $44.67 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $38.90 Median $66.07 Typical High $89.13 | Professional | None (both parts) | $38.90 | $66.07 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $25.12 Typical High $34.67 | Professional | 26 · Professional part | $15.49 | $25.12 | $34.67 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $38.90 Typical High $54.95 | Professional | TC · Technical part | $23.44 | $38.90 | $54.95 |
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 $17.78 Median $20.42 Typical High $27.54 | Professional | 52 · Reduced service | $17.78 | $20.42 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $8.13 Typical High $10.96 | Professional | 53 · Discontinued | $7.08 | $8.13 | $10.96 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $89.13 Median $114.82 Typical High $134.90 | Professional | 22 · Increased work | $89.13 | $114.82 | $134.90 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $19.05 Typical High $22.39 | Professional | 55 · Aftercare only | $14.79 | $19.05 | $22.39 |
Where North Dakota sits
The same service costs 3.8 times more in Alaska than in New York. 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· 9th of 51
$75.86
AK $115NY $30.20
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.