How much rates vary
Facilitymedian $219 · 10th to 90th $219 to $1,413Professionalmedian $631 · 10th to 90th $339 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 $218.78 Median $218.78 Typical High $1,412.54 | Facility | None | $218.78 | $218.78 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $309.03 Typical High $724.44 | Professional | None (both parts) | $218.78 | $309.03 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $288.40 | Professional | 26 · Professional part | $89.13 | $112.20 | $288.40 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $186.21 Typical High $436.52 | Professional | TC · Technical part | $125.89 | $186.21 | $436.52 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $549.54 Median $707.95 Typical High $831.76 | Professional | None (both parts) | $549.54 | $707.95 | $831.76 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $269.15 Typical High $316.23 | Professional | 26 · Professional part | $208.93 | $269.15 | $316.23 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $436.52 Typical High $512.86 | Professional | TC · Technical part | $338.84 | $436.52 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $575.44 Typical High $812.83 | Professional | None (both parts) | $363.08 | $575.44 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $181.97 Typical High $295.12 | Professional | 26 · Professional part | $120.23 | $181.97 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $363.08 Typical High $512.86 | Professional | TC · Technical part | $223.87 | $363.08 | $512.86 |
Medica Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $2,818.38 | Facility | None | $218.78 | $218.78 | $2,818.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $794.33 Typical High $1,905.46 | Professional | None (both parts) | $338.84 | $794.33 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $257.04 Typical High $758.58 | Professional | 26 · Professional part | $128.82 | $257.04 | $758.58 |
Medica Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $537.03 Typical High $1,148.15 | Professional | TC · Technical part | $208.93 | $537.03 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $588.84 Typical High $794.33 | Professional | None (both parts) | $338.84 | $588.84 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $213.80 Typical High $275.42 | Professional | 26 · Professional part | $123.03 | $213.80 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $363.08 Typical High $537.03 | Professional | TC · Technical part | $208.93 | $363.08 | $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 $645.65 Median $851.14 Typical High $1,000.00 | Professional | 22 · Increased work | $645.65 | $851.14 | $1,000.00 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $141.25 Typical High $165.96 | Professional | 55 · Aftercare only | $109.65 | $141.25 | $165.96 |
Where North Dakota sits
The same service costs 5.8 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· 6th of 51
$631
AK $1,148TX $200
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.