How much rates vary
Facilitymedian $126 · 10th to 90th $126 to $214Professionalmedian $234 · 10th to 90th $123 to $589
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $138.04 Typical High $331.13 | Professional | None (both parts) | $107.15 | $138.04 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $54.95 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $208.93 | Professional | TC · Technical part | $56.23 | $72.44 | $208.93 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $199.53 | $257.04 | $302.00 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $91.20 | $117.49 | $138.04 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $165.96 | Professional | TC · Technical part | $107.15 | $141.25 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $213.80 Typical High $478.63 | Professional | None (both parts) | $109.65 | $213.80 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $50.12 | $77.62 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $117.49 Typical High $346.74 | Professional | TC · Technical part | $60.26 | $117.49 | $346.74 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $380.19 | Facility | None | $125.89 | $125.89 | $380.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $269.15 Typical High $3,388.44 | Professional | None (both parts) | $147.91 | $269.15 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $109.65 Typical High $616.60 | Professional | 26 · Professional part | $56.23 | $109.65 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $158.49 Typical High $2,884.03 | Professional | TC · Technical part | $70.79 | $158.49 | $2,884.03 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $123.03 | $218.78 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $87.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $123.03 Typical High $186.21 | Professional | TC · Technical part | $67.61 | $123.03 | $186.21 |
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 $50.12 Median $63.10 Typical High $93.33 | Professional | 52 · Reduced service | $50.12 | $63.10 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $25.12 Typical High $37.15 | Professional | 53 · Discontinued | $19.95 | $25.12 | $37.15 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $239.88 Median $309.03 Typical High $363.08 | Professional | 22 · Increased work | $239.88 | $309.03 | $363.08 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $51.29 Typical High $60.26 | Professional | 55 · Aftercare only | $39.81 | $51.29 | $60.26 |
Where North Dakota sits
The same service costs 4.8 times more in Kansas 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· 12th of 51
$229
KS $363UT $75.86
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.