How much rates vary
Facilitymedian $182 · 10th to 90th $182 to $309Professionalmedian $324 · 10th to 90th $178 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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $234.42 | Professional | None (both parts) | $141.25 | $181.97 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $70.79 | Professional | 26 · Professional part | $48.98 | $60.26 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $120.23 Typical High $173.78 | Professional | TC · Technical part | $89.13 | $120.23 | $173.78 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $323.59 Median $416.87 Typical High $489.78 | Professional | None (both parts) | $323.59 | $416.87 | $489.78 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $165.96 | Professional | 26 · Professional part | $109.65 | $141.25 | $165.96 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $263.03 Typical High $323.59 | Professional | TC · Technical part | $213.80 | $263.03 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $309.03 Typical High $501.19 | Professional | None (both parts) | $158.49 | $309.03 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $85.11 Typical High $144.54 | Professional | 26 · Professional part | $56.23 | $85.11 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $194.98 Typical High $354.81 | Professional | TC · Technical part | $102.33 | $194.98 | $354.81 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $549.54 | Facility | None | $181.97 | $181.97 | $549.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $309.03 Typical High $3,090.30 | Professional | None (both parts) | $177.83 | $309.03 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $114.82 Typical High $489.78 | Professional | 26 · Professional part | $61.66 | $114.82 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $204.17 Typical High $2,818.38 | Professional | TC · Technical part | $114.82 | $204.17 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $281.84 Typical High $436.52 | Professional | None (both parts) | $177.83 | $281.84 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $100.00 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $100.00 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $288.40 | Professional | TC · Technical part | $114.82 | $173.78 | $288.40 |
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 $70.79 Median $91.20 Typical High $97.72 | Professional | 52 · Reduced service | $70.79 | $91.20 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $36.31 Typical High $38.90 | Professional | 53 · Discontinued | $28.18 | $36.31 | $38.90 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $389.05 Median $501.19 Typical High $588.84 | Professional | 22 · Increased work | $389.05 | $501.19 | $588.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $83.18 Typical High $97.72 | Professional | 55 · Aftercare only | $64.57 | $83.18 | $97.72 |
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· 13th of 51
$309
AK $468UT $123
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.