How much rates vary
Facilitymedian $145 · 10th to 90th $145 to $186Professionalmedian $263 · 10th to 90th $138 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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $467.74 | Professional | None (both parts) | $114.82 | $144.54 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $169.82 | Professional | 26 · Professional part | $53.70 | $63.10 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $257.04 | Professional | TC · Technical part | $61.66 | $81.28 | $257.04 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $223.87 | $288.40 | $338.84 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $102.33 | $131.83 | $154.88 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $186.21 | Professional | TC · Technical part | $123.03 | $158.49 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $245.47 Typical High $501.19 | Professional | None (both parts) | $123.03 | $245.47 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $91.20 Typical High $154.88 | Professional | 26 · Professional part | $57.54 | $91.20 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $134.90 Typical High $354.81 | Professional | TC · Technical part | $69.18 | $134.90 | $354.81 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $426.58 | Facility | None | $144.54 | $144.54 | $426.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $302.00 Typical High $3,162.28 | Professional | None (both parts) | $165.96 | $302.00 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $125.89 Typical High $630.96 | Professional | 26 · Professional part | $61.66 | $125.89 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $173.78 Typical High $2,818.38 | Professional | TC · Technical part | $81.28 | $173.78 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $251.19 Typical High $371.54 | Professional | None (both parts) | $138.04 | $251.19 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $100.00 Typical High $134.90 | Professional | 26 · Professional part | $61.66 | $100.00 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $141.25 Typical High $208.93 | Professional | TC · Technical part | $77.62 | $141.25 | $208.93 |
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 $57.54 Median $72.44 Typical High $97.72 | Professional | 52 · Reduced service | $57.54 | $72.44 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $28.84 Typical High $39.81 | Professional | 53 · Discontinued | $22.91 | $28.84 | $39.81 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $269.15 Median $346.74 Typical High $407.38 | Professional | 22 · Increased work | $269.15 | $346.74 | $407.38 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $57.54 Typical High $69.18 | Professional | 55 · Aftercare only | $44.67 | $57.54 | $69.18 |
Where North Dakota sits
The same service costs 5.4 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· 9th of 51
$263
AK $407UT $75.86
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.