How much rates vary
Facilitymedian $178 · 10th to 90th $178 to $251Professionalmedian $355 · 10th to 90th $174 to $692
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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $147.91 | $177.83 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $67.61 | Professional | 26 · Professional part | $54.95 | $64.57 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $93.33 | $112.20 | $186.21 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $309.03 | $398.11 | $467.74 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $134.90 | $158.49 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $263.03 Typical High $309.03 | Professional | TC · Technical part | $204.17 | $263.03 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $331.13 Typical High $616.60 | Professional | None (both parts) | $154.88 | $331.13 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $93.33 Typical High $154.88 | Professional | 26 · Professional part | $57.54 | $93.33 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $213.80 Typical High $446.68 | Professional | TC · Technical part | $97.72 | $213.80 | $446.68 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $537.03 | Facility | None | $177.83 | $177.83 | $537.03 |
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 $63.10 Median $128.82 Typical High $676.08 | Professional | 26 · Professional part | $63.10 | $128.82 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $245.47 Typical High $2,818.38 | Professional | TC · Technical part | $114.82 | $245.47 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $309.03 Typical High $446.68 | Professional | None (both parts) | $169.82 | $309.03 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $102.33 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $199.53 Typical High $295.12 | Professional | TC · Technical part | $107.15 | $199.53 | $295.12 |
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 $74.13 Median $89.13 Typical High $123.03 | Professional | 52 · Reduced service | $74.13 | $89.13 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $35.48 Typical High $48.98 | Professional | 53 · Discontinued | $29.51 | $35.48 | $48.98 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $371.54 Median $478.63 Typical High $562.34 | Professional | 22 · Increased work | $371.54 | $478.63 | $562.34 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $79.43 Typical High $93.33 | Professional | 55 · Aftercare only | $61.66 | $79.43 | $93.33 |
Where North Dakota sits
The same service costs 4.4 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· 10th of 51
$347
AK $513TX $117
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.