How much rates vary
Facilitymedian $324 · 10th to 90th $324 to $2,291Professionalmedian $575 · 10th to 90th $324 to $955
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 $323.59 Median $323.59 Typical High $1,949.84 | Facility | None | $323.59 | $323.59 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $323.59 Typical High $707.95 | Professional | None (both parts) | $288.40 | $323.59 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $117.49 Typical High $281.84 | Professional | 26 · Professional part | $109.65 | $117.49 | $281.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $562.34 | Professional | TC · Technical part | $177.83 | $208.93 | $562.34 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $489.78 Median $630.96 Typical High $741.31 | Professional | None (both parts) | $489.78 | $630.96 | $741.31 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $245.47 Typical High $288.40 | Professional | 26 · Professional part | $190.55 | $245.47 | $288.40 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $389.05 Typical High $457.09 | Professional | TC · Technical part | $302.00 | $389.05 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $537.03 Typical High $851.14 | Professional | None (both parts) | $331.13 | $537.03 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $165.96 Typical High $275.42 | Professional | 26 · Professional part | $109.65 | $165.96 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $331.13 Typical High $524.81 | Professional | TC · Technical part | $199.53 | $331.13 | $524.81 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $2,691.53 | Facility | None | $323.59 | $323.59 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $645.65 Typical High $3,162.28 | Professional | None (both parts) | $338.84 | $645.65 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $234.42 Typical High $691.83 | Professional | 26 · Professional part | $117.49 | $234.42 | $691.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $407.38 Typical High $2,290.87 | Professional | TC · Technical part | $208.93 | $407.38 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $562.34 Typical High $741.31 | Professional | None (both parts) | $323.59 | $562.34 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $199.53 Typical High $281.84 | Professional | 26 · Professional part | $114.82 | $199.53 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $354.81 Typical High $537.03 | Professional | TC · Technical part | $208.93 | $354.81 | $537.03 |
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 $588.84 Median $758.58 Typical High $891.25 | Professional | 22 · Increased work | $588.84 | $758.58 | $891.25 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $125.89 Typical High $147.91 | Professional | 55 · Aftercare only | $97.72 | $125.89 | $147.91 |
Where North Dakota sits
The same service costs 6.8 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· 10th of 51
$575
WY $1,122UT $166
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.