How much rates vary
Facilitymedian $174 · 10th to 90th $174 to $525Professionalmedian $339 · 10th to 90th $170 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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $524.81 | Professional | None (both parts) | $144.54 | $177.83 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $186.21 | Professional | 26 · Professional part | $58.88 | $89.13 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $83.18 Typical High $288.40 | Professional | TC · Technical part | $61.66 | $83.18 | $288.40 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $436.52 | Professional | None (both parts) | $288.40 | $371.54 | $436.52 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $204.17 Typical High $239.88 | Professional | 26 · Professional part | $158.49 | $204.17 | $239.88 |
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 $151.36 Median $302.00 Typical High $616.60 | Professional | None (both parts) | $151.36 | $302.00 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $131.83 Typical High $218.78 | Professional | 26 · Professional part | $72.44 | $131.83 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $138.04 Typical High $436.52 | Professional | TC · Technical part | $70.79 | $138.04 | $436.52 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $2,570.40 | Facility | None | $173.78 | $173.78 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $371.54 Typical High $3,162.28 | Professional | None (both parts) | $204.17 | $371.54 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $158.49 Typical High $676.08 | Professional | 26 · Professional part | $93.33 | $158.49 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $245.47 Typical High $2,818.38 | Professional | TC · Technical part | $81.28 | $245.47 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $302.00 Typical High $436.52 | Professional | None (both parts) | $169.82 | $302.00 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $117.49 Typical High $177.83 | Professional | 26 · Professional part | $75.86 | $117.49 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $158.49 Typical High $269.15 | Professional | TC · Technical part | $75.86 | $158.49 | $269.15 |
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 $72.44 Median $87.10 Typical High $123.03 | Professional | 52 · Reduced service | $72.44 | $87.10 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $34.67 Typical High $48.98 | Professional | 53 · Discontinued | $28.84 | $34.67 | $48.98 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $346.74 Median $446.68 Typical High $524.81 | Professional | 22 · Increased work | $346.74 | $446.68 | $524.81 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $74.13 Typical High $87.10 | Professional | 55 · Aftercare only | $57.54 | $74.13 | $87.10 |
Where North Dakota sits
The same service costs 5.1 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· 11th of 51
$324
AK $513UT $100
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.