How much rates vary
Facilitymedian $646 · 10th to 90th $646 to $676Professionalmedian $603 · 10th to 90th $380 to $1,514
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 $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $645.65 Typical High $676.08 | Professional | None (both parts) | $389.05 | $645.65 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $37.15 | $42.66 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $630.96 Typical High $660.69 | Professional | TC · Technical part | $371.54 | $630.96 | $660.69 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $436.52 Median $549.54 Typical High $645.65 | Professional | None (both parts) | $436.52 | $549.54 | $645.65 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $117.49 | Professional | 26 · Professional part | $77.62 | $100.00 | $117.49 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $457.09 Typical High $537.03 | Professional | TC · Technical part | $363.08 | $457.09 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $426.58 Typical High $660.69 | Professional | None (both parts) | $223.87 | $426.58 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $63.10 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $363.08 Typical High $549.54 | Professional | TC · Technical part | $181.97 | $363.08 | $549.54 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $645.65 Typical High $1,949.84 | Facility | None | $70.79 | $645.65 | $1,949.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $645.65 Median $1,380.38 Typical High $1,778.28 | Professional | None (both parts) | $645.65 | $1,380.38 | $1,778.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $85.11 Typical High $354.81 | Professional | 26 · Professional part | $42.66 | $85.11 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $1,380.38 Typical High $1,412.54 | Professional | TC · Technical part | $588.84 | $1,380.38 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $1,047.13 Typical High $1,445.44 | Professional | None (both parts) | $512.86 | $1,047.13 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $42.66 | $69.18 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $977.24 Typical High $1,380.38 | Professional | TC · Technical part | $426.58 | $977.24 | $1,380.38 |
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 $194.98 Median $323.59 Typical High $338.84 | Professional | 52 · Reduced service | $194.98 | $323.59 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $128.82 Typical High $134.90 | Professional | 53 · Discontinued | $77.62 | $128.82 | $134.90 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $524.81 Median $660.69 Typical High $776.25 | Professional | 22 · Increased work | $524.81 | $660.69 | $776.25 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $109.65 Typical High $128.82 | Professional | 55 · Aftercare only | $87.10 | $109.65 | $128.82 |
Where North Dakota sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 14th of 51
$631
AK $1,000NJ $209
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.