How much rates vary
Facilitymedian $229 · 10th to 90th $229 to $389Professionalmedian $407 · 10th to 90th $229 to $646
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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $229.09 Typical High $588.84 | Professional | None (both parts) | $204.17 | $229.09 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $93.33 Typical High $154.88 | Professional | 26 · Professional part | $87.10 | $93.33 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $346.74 | Professional | TC · Technical part | $117.49 | $138.04 | $346.74 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $346.74 Median $446.68 Typical High $524.81 | Professional | None (both parts) | $346.74 | $446.68 | $524.81 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $194.98 Typical High $229.09 | Professional | 26 · Professional part | $151.36 | $194.98 | $229.09 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $251.19 Typical High $295.12 | Professional | TC · Technical part | $194.98 | $251.19 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $234.42 | $331.13 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $131.83 Typical High $218.78 | Professional | 26 · Professional part | $81.28 | $131.83 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $128.82 | $190.55 | $309.03 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $2,511.89 | Facility | None | $229.09 | $229.09 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $467.74 Typical High $1,348.96 | Professional | None (both parts) | $234.42 | $467.74 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $186.21 Typical High $549.54 | Professional | 26 · Professional part | $95.50 | $186.21 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $281.84 Typical High $794.33 | Professional | TC · Technical part | $138.04 | $281.84 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $398.11 Typical High $512.86 | Professional | None (both parts) | $223.87 | $398.11 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $162.18 Typical High $208.93 | Professional | 26 · Professional part | $91.20 | $162.18 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $239.88 Typical High $309.03 | Professional | TC · Technical part | $138.04 | $239.88 | $309.03 |
2 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $416.87 Median $537.03 Typical High $630.96 | Professional | 22 · Increased work | $416.87 | $537.03 | $630.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $89.13 Typical High $104.71 | Professional | 55 · Aftercare only | $69.18 | $89.13 | $104.71 |
Where North Dakota sits
The same service costs 7.6 times more in Wyoming than in Utah. 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
$407
WY $794UT $105
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.