How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,660 to $2,818Professionalmedian $692 · 10th to 90th $407 to $3,981
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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $1,659.59 Typical High $3,388.44 | Professional | None (both parts) | $380.19 | $1,659.59 | $3,388.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $51.29 | Professional | 26 · Professional part | $34.67 | $40.74 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $1,621.81 Typical High $3,311.31 | Professional | TC · Technical part | $371.54 | $1,621.81 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $478.63 Median $602.56 Typical High $707.95 | Professional | None (both parts) | $478.63 | $602.56 | $707.95 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $100.00 | Professional | 26 · Professional part | $66.07 | $85.11 | $100.00 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $512.86 Typical High $602.56 | Professional | TC · Technical part | $407.38 | $512.86 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $467.74 Typical High $691.83 | Professional | None (both parts) | $229.09 | $467.74 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $36.31 | $57.54 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $416.87 Typical High $588.84 | Professional | TC · Technical part | $194.98 | $416.87 | $588.84 |
Medica Setting Facility Modifier None Typical Low $67.61 Median $1,659.59 Typical High $4,897.79 | Facility | None | $67.61 | $1,659.59 | $4,897.79 |
Medica Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,995.26 Typical High $4,786.30 | Professional | None (both parts) | $870.96 | $1,995.26 | $4,786.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $81.28 Typical High $457.09 | Professional | 26 · Professional part | $39.81 | $81.28 | $457.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,949.84 Typical High $4,786.30 | Professional | TC · Technical part | $812.83 | $1,949.84 | $4,786.30 |
United Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,584.89 Typical High $3,090.30 | Professional | None (both parts) | $575.44 | $1,584.89 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $64.57 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $1,548.82 Typical High $2,951.21 | Professional | TC · Technical part | $478.63 | $1,548.82 | $2,951.21 |
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 $190.55 Median $812.83 Typical High $1,659.59 | Professional | 52 · Reduced service | $190.55 | $812.83 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $331.13 Typical High $660.69 | Professional | 53 · Discontinued | $77.62 | $331.13 | $660.69 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $575.44 Median $724.44 Typical High $851.14 | Professional | 22 · Increased work | $575.44 | $724.44 | $851.14 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $120.23 Typical High $141.25 | Professional | 55 · Aftercare only | $95.50 | $120.23 | $141.25 |
Where North Dakota sits
The same service costs 15.1 times more in Colorado 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· 25th of 51
$708
CO $3,715NJ $245
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.