How much rates vary
Facilitymedian $2,754 · 10th to 90th $2,754 to $3,388Professionalmedian $741 · 10th to 90th $437 to $4,898
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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Facility | None | $2,754.23 | $2,754.23 | $2,754.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $2,754.23 Typical High $3,388.44 | Professional | None (both parts) | $389.05 | $2,754.23 | $3,388.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $46.77 | $56.23 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $2,754.23 Typical High $3,311.31 | Professional | TC · Technical part | $371.54 | $2,754.23 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $501.19 Median $630.96 Typical High $741.31 | Professional | None (both parts) | $501.19 | $630.96 | $741.31 |
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 $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 $239.88 Median $549.54 Typical High $891.25 | Professional | None (both parts) | $239.88 | $549.54 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $83.18 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $446.68 Typical High $794.33 | Professional | TC · Technical part | $190.55 | $446.68 | $794.33 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $2,754.23 Typical High $8,317.64 | Facility | None | $363.08 | $2,754.23 | $8,317.64 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $4,786.30 Typical High $4,897.79 | Professional | None (both parts) | $1,479.11 | $4,786.30 | $4,897.79 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $117.49 Typical High $501.19 | Professional | 26 · Professional part | $54.95 | $117.49 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $4,677.35 Typical High $4,786.30 | Professional | TC · Technical part | $2,089.30 | $4,677.35 | $4,786.30 |
United Setting Professional Modifier None (both parts) Typical Low $602.56 Median $3,630.78 Typical High $5,128.61 | Professional | None (both parts) | $602.56 | $3,630.78 | $5,128.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $53.70 | $89.13 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $3,548.13 Typical High $5,128.61 | Professional | TC · Technical part | $478.63 | $3,548.13 | $5,128.61 |
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 $1,380.38 Typical High $1,659.59 | Professional | 52 · Reduced service | $194.98 | $1,380.38 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $562.34 Typical High $660.69 | Professional | 53 · Discontinued | $77.62 | $562.34 | $660.69 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $602.56 Median $741.31 Typical High $891.25 | Professional | 22 · Increased work | $602.56 | $741.31 | $891.25 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $100.00 Median $125.89 Typical High $147.91 | Professional | 55 · Aftercare only | $100.00 | $125.89 | $147.91 |
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· 24th of 51
$871
CO $3,890NJ $257
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.