How much rates vary
Facilitymedian $74 · 10th to 90th $74 to $1,318Professionalmedian $195 · 10th to 90th $95 to $295
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 $74.13 Median $74.13 Typical High $302.00 | Facility | None | $74.13 | $74.13 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $102.33 Typical High $257.04 | Professional | None (both parts) | $74.13 | $102.33 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.18 Typical High $77.62 | Professional | 26 · Professional part | $20.42 | $28.18 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $70.79 Typical High $186.21 | Professional | TC · Technical part | $47.86 | $70.79 | $186.21 |
BCBS North Dakota Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $173.78 | $223.87 | $269.15 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $70.79 | Professional | 26 · Professional part | $46.77 | $60.26 | $70.79 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $194.98 | Professional | TC · Technical part | $128.82 | $165.96 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $158.49 Typical High $269.15 | Professional | None (both parts) | $100.00 | $158.49 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $41.69 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $41.69 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $69.18 | $114.82 | $199.53 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $1,479.11 | Facility | None | $74.13 | $74.13 | $1,479.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $204.17 Typical High $660.69 | Professional | None (both parts) | $107.15 | $204.17 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $57.54 Typical High $173.78 | Professional | 26 · Professional part | $29.51 | $57.54 | $173.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $144.54 Typical High $489.78 | Professional | TC · Technical part | $77.62 | $144.54 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $173.78 Typical High $204.17 | Professional | None (both parts) | $100.00 | $173.78 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $48.98 Typical High $61.66 | Professional | 26 · Professional part | $28.18 | $48.98 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $125.89 Typical High $154.88 | Professional | TC · Technical part | $69.18 | $125.89 | $154.88 |
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 $208.93 Median $269.15 Typical High $316.23 | Professional | 22 · Increased work | $208.93 | $269.15 | $316.23 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $45.71 Typical High $53.70 | Professional | 55 · Aftercare only | $34.67 | $45.71 | $53.70 |
Where North Dakota sits
The same service costs 4.2 times more in Alaska 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· 7th of 51
$191
AK $316UT $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.