How much rates vary
Facilitymedian $93 · 10th to 90th $93 to $138Professionalmedian $170 · 10th to 90th $89 to $288
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $97.72 | Professional | None (both parts) | $77.62 | $93.33 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.62 Typical High $19.50 | Professional | 26 · Professional part | $15.85 | $18.62 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $81.28 | Professional | TC · Technical part | $61.66 | $74.13 | $81.28 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $177.83 | $229.09 | $269.15 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $40.74 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $40.74 | $47.86 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $186.21 Typical High $223.87 | Professional | TC · Technical part | $144.54 | $186.21 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $74.13 | $147.91 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $26.92 Typical High $44.67 | Professional | 26 · Professional part | $16.60 | $26.92 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $120.23 Typical High $186.21 | Professional | TC · Technical part | $56.23 | $120.23 | $186.21 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $281.84 | Facility | None | $93.33 | $93.33 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $89.13 Median $162.18 Typical High $645.65 | Professional | None (both parts) | $89.13 | $162.18 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $37.15 Typical High $114.82 | Professional | 26 · Professional part | $18.20 | $37.15 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $125.89 Typical High $524.81 | Professional | TC · Technical part | $70.79 | $125.89 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $89.13 | $144.54 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $28.84 Typical High $39.81 | Professional | 26 · Professional part | $17.78 | $28.84 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $114.82 Typical High $138.04 | Professional | TC · Technical part | $70.79 | $114.82 | $138.04 |
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 $38.90 Median $46.77 Typical High $48.98 | Professional | 52 · Reduced service | $38.90 | $46.77 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $18.62 Typical High $19.95 | Professional | 53 · Discontinued | $15.85 | $18.62 | $19.95 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $213.80 Median $275.42 Typical High $323.59 | Professional | 22 · Increased work | $213.80 | $275.42 | $323.59 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $45.71 Typical High $53.70 | Professional | 55 · Aftercare only | $35.48 | $45.71 | $53.70 |
Where North Dakota sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 10th of 51
$162
AK $282KY $74.13
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.