How much rates vary
Facilitymedian $141 · 10th to 90th $141 to $186Professionalmedian $269 · 10th to 90th $135 to $646
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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $257.04 | Professional | None (both parts) | $112.20 | $141.25 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $63.10 | Professional | 26 · Professional part | $47.86 | $57.54 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $204.17 | Professional | TC · Technical part | $64.57 | $85.11 | $204.17 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $218.78 | $288.40 | $338.84 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $120.23 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $120.23 | $141.25 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $194.98 | Professional | TC · Technical part | $128.82 | $165.96 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $245.47 Typical High $602.56 | Professional | None (both parts) | $123.03 | $245.47 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $83.18 Typical High $138.04 | Professional | 26 · Professional part | $51.29 | $83.18 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $144.54 Typical High $426.58 | Professional | TC · Technical part | $72.44 | $144.54 | $426.58 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $426.58 | Facility | None | $141.25 | $141.25 | $426.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $309.03 Typical High $3,548.13 | Professional | None (both parts) | $169.82 | $309.03 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $114.82 Typical High $616.60 | Professional | 26 · Professional part | $56.23 | $114.82 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $199.53 Typical High $3,019.95 | Professional | TC · Technical part | $85.11 | $199.53 | $3,019.95 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $134.90 | $245.47 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $54.95 | $91.20 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $151.36 Typical High $263.03 | Professional | TC · Technical part | $81.28 | $151.36 | $263.03 |
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 $56.23 Median $70.79 Typical High $128.82 | Professional | 52 · Reduced service | $56.23 | $70.79 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.18 Typical High $51.29 | Professional | 53 · Discontinued | $22.39 | $28.18 | $51.29 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $263.03 Median $338.84 Typical High $407.38 | Professional | 22 · Increased work | $263.03 | $338.84 | $407.38 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $57.54 Typical High $67.61 | Professional | 55 · Aftercare only | $44.67 | $57.54 | $67.61 |
Where North Dakota sits
The same service costs 4.9 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· 13th of 51
$257
AK $398TX $81.28
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.