How much rates vary
Facilitymedian $162 · 10th to 90th $162 to $4,365Professionalmedian $302 · 10th to 90th $158 to $631
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 $162.18 Median $162.18 Typical High $5,370.32 | Facility | None | $162.18 | $162.18 | $5,370.32 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $426.58 | Professional | None (both parts) | $138.04 | $204.17 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $83.18 Typical High $165.96 | Professional | 26 · Professional part | $51.29 | $83.18 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $97.72 Typical High $251.19 | Professional | TC · Technical part | $63.10 | $97.72 | $251.19 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $398.11 | Professional | None (both parts) | $263.03 | $338.84 | $398.11 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $181.97 Typical High $213.80 | Professional | 26 · Professional part | $141.25 | $181.97 | $213.80 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $181.97 | Professional | TC · Technical part | $120.23 | $154.88 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $141.25 | $275.42 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $114.82 Typical High $194.98 | Professional | 26 · Professional part | $64.57 | $114.82 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $128.82 Typical High $389.05 | Professional | TC · Technical part | $67.61 | $128.82 | $389.05 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $162.18 Typical High $2,691.53 | Facility | None | $162.18 | $162.18 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $323.59 Typical High $3,090.30 | Professional | None (both parts) | $177.83 | $323.59 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $144.54 Typical High $549.54 | Professional | 26 · Professional part | $83.18 | $144.54 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $213.80 Typical High $2,818.38 | Professional | TC · Technical part | $79.43 | $213.80 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $158.49 | $281.84 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $107.15 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $144.54 Typical High $223.87 | Professional | TC · Technical part | $74.13 | $144.54 | $223.87 |
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 $66.07 Median $81.28 Typical High $104.71 | Professional | 52 · Reduced service | $66.07 | $81.28 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $32.36 Typical High $42.66 | Professional | 53 · Discontinued | $26.92 | $32.36 | $42.66 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $316.23 Median $407.38 Typical High $478.63 | Professional | 22 · Increased work | $316.23 | $407.38 | $478.63 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $67.61 Typical High $79.43 | Professional | 55 · Aftercare only | $52.48 | $67.61 | $79.43 |
Where North Dakota sits
The same service costs 4.1 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· 7th of 51
$302
AK $468TX $115
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.