How much rates vary
Facilitymedian $151 · 10th to 90th $151 to $457Professionalmedian $288 · 10th to 90th $148 to $603
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 $151.36 Median $151.36 Typical High $4,786.30 | Facility | None | $151.36 | $151.36 | $4,786.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $389.05 | Professional | None (both parts) | $134.90 | $162.18 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $53.70 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $109.65 Typical High $245.47 | Professional | TC · Technical part | $87.10 | $109.65 | $245.47 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $251.19 Median $323.59 Typical High $380.19 | Professional | None (both parts) | $251.19 | $323.59 | $380.19 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $114.82 Typical High $134.90 | Professional | 26 · Professional part | $89.13 | $114.82 | $134.90 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $213.80 Typical High $251.19 | Professional | TC · Technical part | $162.18 | $213.80 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $131.83 | $275.42 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $48.98 | $77.62 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $181.97 Typical High $389.05 | Professional | TC · Technical part | $83.18 | $181.97 | $389.05 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $457.09 | Facility | None | $151.36 | $151.36 | $457.09 |
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 $54.95 Median $109.65 Typical High $645.65 | Professional | 26 · Professional part | $54.95 | $109.65 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $208.93 Typical High $2,818.38 | Professional | TC · Technical part | $97.72 | $208.93 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $144.54 | $263.03 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $87.10 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $169.82 Typical High $257.04 | Professional | TC · Technical part | $93.33 | $169.82 | $257.04 |
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 $61.66 Median $75.86 Typical High $104.71 | Professional | 52 · Reduced service | $61.66 | $75.86 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $30.20 Typical High $41.69 | Professional | 53 · Discontinued | $24.55 | $30.20 | $41.69 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $302.00 Median $389.05 Typical High $457.09 | Professional | 22 · Increased work | $302.00 | $389.05 | $457.09 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $64.57 Typical High $75.86 | Professional | 55 · Aftercare only | $50.12 | $64.57 | $75.86 |
Where North Dakota sits
The same service costs 4.2 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· 9th of 51
$288
AK $437UT $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.