How much rates vary
Facilitymedian $87 · 10th to 90th $87 to $117Professionalmedian $269 · 10th to 90th $87 to $398
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $102.33 | Professional | None (both parts) | $72.44 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $31.62 | Professional | 26 · Professional part | $26.30 | $30.20 | $31.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $57.54 Typical High $64.57 | Professional | TC · Technical part | $46.77 | $57.54 | $64.57 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $263.03 Median $323.59 Typical High $389.05 | Professional | None (both parts) | $263.03 | $323.59 | $389.05 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $75.86 | Professional | 26 · Professional part | $48.98 | $63.10 | $75.86 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $263.03 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $263.03 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $138.04 Typical High $223.87 | Professional | None (both parts) | $75.86 | $138.04 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $43.65 Typical High $74.13 | Professional | 26 · Professional part | $27.54 | $43.65 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $47.86 | $93.33 | $144.54 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $263.03 | Facility | None | $87.10 | $87.10 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $323.59 Typical High $851.14 | Professional | None (both parts) | $162.18 | $323.59 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $61.66 Typical High $208.93 | Professional | 26 · Professional part | $30.20 | $61.66 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $275.42 Typical High $707.95 | Professional | TC · Technical part | $120.23 | $275.42 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $151.36 | $218.78 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $48.98 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $102.33 | $173.78 | $275.42 |
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 $36.31 Median $43.65 Typical High $51.29 | Professional | 52 · Reduced service | $36.31 | $43.65 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $17.38 Typical High $20.42 | Professional | 53 · Discontinued | $14.45 | $17.38 | $20.42 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $309.03 Median $389.05 Typical High $457.09 | Professional | 22 · Increased work | $309.03 | $389.05 | $457.09 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $66.07 Typical High $77.62 | Professional | 55 · Aftercare only | $52.48 | $66.07 | $77.62 |
Where North Dakota sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 2nd of 51
$263
AK $331TX $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.