How much rates vary
Facilitymedian $98 · 10th to 90th $98 to $295Professionalmedian $174 · 10th to 90th $93 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 $97.72 Median $97.72 Typical High $104.71 | Facility | None | $97.72 | $97.72 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $251.19 | Professional | None (both parts) | $81.28 | $97.72 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $39.81 | Professional | 26 · Professional part | $14.13 | $16.60 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $81.28 Typical High $208.93 | Professional | TC · Technical part | $67.61 | $81.28 | $208.93 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $281.84 | Professional | None (both parts) | $186.21 | $239.88 | $281.84 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $41.69 | Professional | 26 · Professional part | $27.54 | $35.48 | $41.69 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $204.17 Typical High $239.88 | Professional | TC · Technical part | $158.49 | $204.17 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $87.10 | $154.88 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $22.91 Typical High $39.81 | Professional | 26 · Professional part | $14.79 | $22.91 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $134.90 Typical High $204.17 | Professional | TC · Technical part | $67.61 | $134.90 | $204.17 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $295.12 | Facility | None | $97.72 | $97.72 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $165.96 Typical High $691.83 | Professional | None (both parts) | $93.33 | $165.96 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $33.11 Typical High $151.36 | Professional | 26 · Professional part | $16.22 | $33.11 | $151.36 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $131.83 Typical High $588.84 | Professional | TC · Technical part | $77.62 | $131.83 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $93.33 | $147.91 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $25.70 Typical High $35.48 | Professional | 26 · Professional part | $15.85 | $25.70 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $117.49 Typical High $151.36 | Professional | TC · Technical part | $77.62 | $117.49 | $151.36 |
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 $40.74 Median $48.98 Typical High $52.48 | Professional | 52 · Reduced service | $40.74 | $48.98 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $19.50 Typical High $20.89 | Professional | 53 · Discontinued | $16.22 | $19.50 | $20.89 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $223.87 Median $288.40 Typical High $338.84 | Professional | 22 · Increased work | $223.87 | $288.40 | $338.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $47.86 Typical High $56.23 | Professional | 55 · Aftercare only | $37.15 | $47.86 | $56.23 |
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· 10th of 51
$170
AK $288NY $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.