How much rates vary
Facilitymedian $91 · 10th to 90th $91 to $117Professionalmedian $170 · 10th to 90th $89 to $257
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $114.82 | Professional | None (both parts) | $70.79 | $91.20 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $30.20 | Professional | 26 · Professional part | $20.42 | $23.44 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $67.61 Typical High $85.11 | Professional | TC · Technical part | $51.29 | $67.61 | $85.11 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $151.36 Median $194.98 Typical High $229.09 | Professional | None (both parts) | $151.36 | $194.98 | $229.09 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $53.70 | $63.10 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $109.65 | $141.25 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $64.57 | $125.89 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.88 Typical High $57.54 | Professional | 26 · Professional part | $21.38 | $33.88 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $45.71 | $93.33 | $154.88 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $275.42 | Facility | None | $91.20 | $91.20 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $89.13 Median $199.53 Typical High $758.58 | Professional | None (both parts) | $89.13 | $199.53 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $47.86 Typical High $1,047.13 | Professional | 26 · Professional part | $22.91 | $47.86 | $1,047.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $151.36 Typical High $1,047.13 | Professional | TC · Technical part | $64.57 | $151.36 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $89.13 | $151.36 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $37.15 Typical High $50.12 | Professional | 26 · Professional part | $22.91 | $37.15 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $112.20 Typical High $151.36 | Professional | TC · Technical part | $64.57 | $112.20 | $151.36 |
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 $33.88 Median $44.67 Typical High $45.71 | Professional | 52 · Reduced service | $33.88 | $44.67 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $17.78 Typical High $18.20 | Professional | 53 · Discontinued | $13.49 | $17.78 | $18.20 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $177.83 Median $234.42 Typical High $275.42 | Professional | 22 · Increased work | $177.83 | $234.42 | $275.42 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $38.90 Typical High $45.71 | Professional | 55 · Aftercare only | $30.20 | $38.90 | $45.71 |
Where North Dakota sits
The same service costs 3.8 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· 7th of 51
$166
AK $245UT $64.57
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.