How much rates vary
Facilitymedian $166 · 10th to 90th $166 to $234Professionalmedian $331 · 10th to 90th $166 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 $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 $138.04 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $138.04 | $165.96 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $74.13 | Professional | 26 · Professional part | $48.98 | $54.95 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $89.13 | $109.65 | $204.17 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $295.12 | $380.19 | $446.68 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $123.03 Typical High $144.54 | Professional | 26 · Professional part | $95.50 | $123.03 | $144.54 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $302.00 | Professional | TC · Technical part | $199.53 | $257.04 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $147.91 | $309.03 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $87.10 Typical High $138.04 | Professional | 26 · Professional part | $51.29 | $87.10 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $199.53 Typical High $407.38 | Professional | TC · Technical part | $97.72 | $199.53 | $407.38 |
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 $338.84 Typical High $3,090.30 | Professional | None (both parts) | $186.21 | $338.84 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $112.20 Typical High $616.60 | Professional | 26 · Professional part | $54.95 | $112.20 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $229.09 Typical High $2,818.38 | Professional | TC · Technical part | $109.65 | $229.09 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $158.49 | $288.40 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $89.13 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $104.71 | $190.55 | $288.40 |
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 $69.18 Median $81.28 Typical High $107.15 | Professional | 52 · Reduced service | $69.18 | $81.28 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $33.11 Typical High $43.65 | Professional | 53 · Discontinued | $27.54 | $33.11 | $43.65 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $354.81 Median $457.09 Typical High $537.03 | Professional | 22 · Increased work | $354.81 | $457.09 | $537.03 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $75.86 Typical High $89.13 | Professional | 55 · Aftercare only | $58.88 | $75.86 | $89.13 |
Where North Dakota sits
The same service costs 4.0 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· 11th of 51
$316
AK $479TX $120
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.