How much rates vary
Facilitymedian $490 · 10th to 90th $490 to $832Professionalmedian $186 · 10th to 90th $110 to $851
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 $489.78 Median $489.78 Typical High $602.56 | Facility | None | $489.78 | $489.78 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $489.78 Typical High $562.34 | Professional | None (both parts) | $218.78 | $489.78 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $27.54 | Professional | 26 · Professional part | $22.39 | $26.30 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $478.63 Typical High $562.34 | Professional | TC · Technical part | $208.93 | $478.63 | $562.34 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $186.21 | Professional | None (both parts) | $125.89 | $158.49 | $186.21 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $56.23 | $66.07 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $123.03 | Professional | TC · Technical part | $83.18 | $104.71 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $123.03 Typical High $190.55 | Professional | None (both parts) | $61.66 | $123.03 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $23.44 | $38.02 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $39.81 | $85.11 | $125.89 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $489.78 Typical High $1,479.11 | Facility | None | $38.02 | $489.78 | $1,479.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $302.00 Median $616.60 Typical High $870.96 | Professional | None (both parts) | $302.00 | $616.60 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $52.48 Typical High $154.88 | Professional | 26 · Professional part | $26.30 | $52.48 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $707.95 Typical High $812.83 | Professional | TC · Technical part | $269.15 | $707.95 | $812.83 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $478.63 Typical High $1,148.15 | Professional | None (both parts) | $158.49 | $478.63 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $41.69 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $457.09 Typical High $1,096.48 | Professional | TC · Technical part | $97.72 | $457.09 | $1,096.48 |
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 $109.65 Median $245.47 Typical High $281.84 | Professional | 52 · Reduced service | $109.65 | $245.47 | $281.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $97.72 Typical High $112.20 | Professional | 53 · Discontinued | $43.65 | $97.72 | $112.20 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $151.36 Median $190.55 Typical High $223.87 | Professional | 22 · Increased work | $151.36 | $190.55 | $223.87 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $31.62 Typical High $37.15 | Professional | 55 · Aftercare only | $25.70 | $31.62 | $37.15 |
Where North Dakota sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 26th of 51
$191
CO $661MI $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.