How much rates vary
Facilitymedian $138 · 10th to 90th $138 to $182Professionalmedian $263 · 10th to 90th $135 to $603
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $245.47 | Professional | None (both parts) | $109.65 | $138.04 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $95.50 | Professional | 26 · Professional part | $47.86 | $56.23 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $177.83 | Professional | TC · Technical part | $63.10 | $83.18 | $177.83 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $229.09 Median $295.12 Typical High $346.74 | Professional | None (both parts) | $229.09 | $295.12 | $346.74 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $144.54 | Professional | 26 · Professional part | $93.33 | $120.23 | $144.54 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $204.17 | Professional | TC · Technical part | $134.90 | $173.78 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $239.88 Typical High $478.63 | Professional | None (both parts) | $120.23 | $239.88 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $50.12 | $81.28 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $141.25 Typical High $363.08 | Professional | TC · Technical part | $70.79 | $141.25 | $363.08 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $416.87 | Facility | None | $138.04 | $138.04 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $288.40 Typical High $3,090.30 | Professional | None (both parts) | $158.49 | $288.40 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $112.20 Typical High $537.03 | Professional | 26 · Professional part | $54.95 | $112.20 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $177.83 Typical High $2,818.38 | Professional | TC · Technical part | $83.18 | $177.83 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $363.08 | Professional | None (both parts) | $134.90 | $239.88 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $89.13 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $144.54 Typical High $218.78 | Professional | TC · Technical part | $79.43 | $144.54 | $218.78 |
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 $54.95 Median $69.18 Typical High $95.50 | Professional | 52 · Reduced service | $54.95 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $27.54 Typical High $38.90 | Professional | 53 · Discontinued | $22.39 | $27.54 | $38.90 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $275.42 Median $354.81 Typical High $416.87 | Professional | 22 · Increased work | $275.42 | $354.81 | $416.87 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $58.88 Typical High $69.18 | Professional | 55 · Aftercare only | $45.71 | $58.88 | $69.18 |
Where North Dakota sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 10th of 51
$257
AK $389TX $95.50
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.