How much rates vary
Facilitymedian $501 · 10th to 90th $501 to $2,399Professionalmedian $912 · 10th to 90th $501 to $1,479
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 $501.19 Median $501.19 Typical High $2,398.83 | Facility | None | $501.19 | $501.19 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $501.19 Typical High $1,412.54 | Professional | None (both parts) | $436.52 | $501.19 | $1,412.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $147.91 Typical High $426.58 | Professional | 26 · Professional part | $138.04 | $147.91 | $426.58 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $354.81 Typical High $954.99 | Professional | TC · Technical part | $302.00 | $354.81 | $954.99 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $758.58 Median $977.24 Typical High $1,148.15 | Professional | None (both parts) | $758.58 | $977.24 | $1,148.15 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $316.23 Typical High $371.54 | Professional | 26 · Professional part | $239.88 | $316.23 | $371.54 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $660.69 Typical High $776.25 | Professional | TC · Technical part | $512.86 | $660.69 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $812.83 Typical High $1,288.25 | Professional | None (both parts) | $501.19 | $812.83 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $213.80 Typical High $354.81 | Professional | 26 · Professional part | $138.04 | $213.80 | $354.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $562.34 Typical High $870.96 | Professional | TC · Technical part | $338.84 | $562.34 | $870.96 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $4,073.80 | Facility | None | $501.19 | $501.19 | $4,073.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,023.29 Typical High $4,897.79 | Professional | None (both parts) | $562.34 | $1,023.29 | $4,897.79 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $295.12 Typical High $891.25 | Professional | 26 · Professional part | $151.36 | $295.12 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $724.44 Typical High $4,073.80 | Professional | TC · Technical part | $354.81 | $724.44 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $870.96 Typical High $1,148.15 | Professional | None (both parts) | $501.19 | $870.96 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $251.19 Typical High $371.54 | Professional | 26 · Professional part | $147.91 | $251.19 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $616.60 Typical High $933.25 | Professional | TC · Technical part | $354.81 | $616.60 | $933.25 |
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 $912.01 Median $1,174.90 Typical High $1,380.38 | Professional | 22 · Increased work | $912.01 | $1,174.90 | $1,380.38 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $194.98 Typical High $229.09 | Professional | 55 · Aftercare only | $151.36 | $194.98 | $229.09 |
Where North Dakota sits
The same service costs 5.8 times more in Wyoming 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· 9th of 51
$891
WY $1,698TX $295
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.