How much rates vary
Facilitymedian $145 · 10th to 90th $145 to $195Professionalmedian $275 · 10th to 90th $138 to $617
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 $117.49 Median $144.54 Typical High $338.84 | Professional | None (both parts) | $117.49 | $144.54 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $54.95 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $204.17 | Professional | TC · Technical part | $69.18 | $89.13 | $204.17 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $234.42 | $302.00 | $363.08 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $89.13 | $117.49 | $138.04 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $190.55 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $123.03 | $257.04 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $79.43 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $162.18 Typical High $371.54 | Professional | TC · Technical part | $75.86 | $162.18 | $371.54 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $436.52 | Facility | None | $144.54 | $144.54 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $309.03 Typical High $3,090.30 | Professional | None (both parts) | $169.82 | $309.03 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $112.20 Typical High $537.03 | Professional | 26 · Professional part | $54.95 | $112.20 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $194.98 Typical High $2,818.38 | Professional | TC · Technical part | $91.20 | $194.98 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $138.04 | $251.19 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $87.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $154.88 Typical High $234.42 | Professional | TC · Technical part | $85.11 | $154.88 | $234.42 |
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 $58.88 Median $72.44 Typical High $102.33 | Professional | 52 · Reduced service | $58.88 | $72.44 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $28.84 Typical High $40.74 | Professional | 53 · Discontinued | $23.44 | $28.84 | $40.74 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $281.84 Median $363.08 Typical High $426.58 | Professional | 22 · Increased work | $281.84 | $363.08 | $426.58 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $61.66 Typical High $72.44 | Professional | 55 · Aftercare only | $46.77 | $61.66 | $72.44 |
Where North Dakota sits
The same service costs 4.3 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
$269
AK $407UT $95.50
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.