How much rates vary
Facilitymedian $204 · 10th to 90th $204 to $251Professionalmedian $363 · 10th to 90th $195 to $661
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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $245.47 | Professional | None (both parts) | $162.18 | $204.17 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $26.30 | Professional | 26 · Professional part | $21.38 | $23.99 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $223.87 | Professional | TC · Technical part | $141.25 | $177.83 | $223.87 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $309.03 Median $407.38 Typical High $478.63 | Professional | None (both parts) | $309.03 | $407.38 | $478.63 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $53.70 | $63.10 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $346.74 Typical High $407.38 | Professional | TC · Technical part | $269.15 | $346.74 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $331.13 Typical High $562.34 | Professional | None (both parts) | $165.96 | $331.13 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $35.48 Typical High $57.54 | Professional | 26 · Professional part | $22.39 | $35.48 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $144.54 | $295.12 | $537.03 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $602.56 | Facility | None | $204.17 | $204.17 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $398.11 Typical High $2,951.21 | Professional | None (both parts) | $213.80 | $398.11 | $2,951.21 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $47.86 Typical High $436.52 | Professional | 26 · Professional part | $24.55 | $47.86 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $346.74 Typical High $2,818.38 | Professional | TC · Technical part | $177.83 | $346.74 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $194.98 | $338.84 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $39.81 Typical High $51.29 | Professional | 26 · Professional part | $24.55 | $39.81 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $295.12 Typical High $407.38 | Professional | TC · Technical part | $169.82 | $295.12 | $407.38 |
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 $81.28 Median $100.00 Typical High $123.03 | Professional | 52 · Reduced service | $81.28 | $100.00 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $40.74 Typical High $48.98 | Professional | 53 · Discontinued | $32.36 | $40.74 | $48.98 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $371.54 Median $478.63 Typical High $575.44 | Professional | 22 · Increased work | $371.54 | $478.63 | $575.44 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $81.28 Typical High $95.50 | Professional | 55 · Aftercare only | $63.10 | $81.28 | $95.50 |
Where North Dakota sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 11th of 51
$355
AK $525FL $158
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.