How much rates vary
Facilitymedian $166 · 10th to 90th $166 to $224Professionalmedian $309 · 10th to 90th $158 to $646
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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $213.80 | Professional | None (both parts) | $131.83 | $165.96 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $58.88 | Professional | 26 · Professional part | $47.86 | $56.23 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $107.15 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $107.15 | $162.18 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $263.03 Median $346.74 Typical High $407.38 | Professional | None (both parts) | $263.03 | $346.74 | $407.38 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $120.23 | $141.25 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $263.03 | Professional | TC · Technical part | $173.78 | $223.87 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $295.12 Typical High $512.86 | Professional | None (both parts) | $141.25 | $295.12 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $51.29 | $81.28 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $194.98 Typical High $398.11 | Professional | TC · Technical part | $91.20 | $194.98 | $398.11 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $489.78 | Facility | None | $165.96 | $165.96 | $489.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $346.74 Typical High $3,090.30 | Professional | None (both parts) | $186.21 | $346.74 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $114.82 Typical High $467.74 | Professional | 26 · Professional part | $56.23 | $114.82 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $229.09 Typical High $2,818.38 | Professional | TC · Technical part | $107.15 | $229.09 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $158.49 | $288.40 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $91.20 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $186.21 Typical High $281.84 | Professional | TC · Technical part | $102.33 | $186.21 | $281.84 |
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 $83.18 Typical High $107.15 | Professional | 52 · Reduced service | $66.07 | $83.18 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $33.11 Typical High $42.66 | Professional | 53 · Discontinued | $26.30 | $33.11 | $42.66 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $316.23 Median $407.38 Typical High $489.78 | Professional | 22 · Increased work | $316.23 | $407.38 | $489.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | 55 · Aftercare only | $53.70 | $69.18 | $81.28 |
Where North Dakota sits
The same service costs 4.4 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· 12th of 51
$302
AK $457UT $105
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.