How much rates vary
Facilitymedian $120 · 10th to 90th $120 to $155Professionalmedian $219 · 10th to 90th $115 to $347
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 $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $120.23 Typical High $147.91 | Professional | None (both parts) | $89.13 | $120.23 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $36.31 | Professional | 26 · Professional part | $30.20 | $34.67 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $104.71 | Professional | TC · Technical part | $60.26 | $85.11 | $104.71 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $186.21 Median $239.88 Typical High $281.84 | Professional | None (both parts) | $186.21 | $239.88 | $281.84 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $57.54 | $74.13 | $87.10 |
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 $91.20 Median $165.96 Typical High $288.40 | Professional | None (both parts) | $91.20 | $165.96 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $31.62 | $50.12 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $117.49 Typical High $199.53 | Professional | TC · Technical part | $58.88 | $117.49 | $199.53 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $363.08 | Facility | None | $120.23 | $120.23 | $363.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $114.82 Median $281.84 Typical High $1,023.29 | Professional | None (both parts) | $114.82 | $281.84 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $72.44 Typical High $208.93 | Professional | 26 · Professional part | $34.67 | $72.44 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $213.80 Typical High $870.96 | Professional | TC · Technical part | $81.28 | $213.80 | $870.96 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $114.82 | $208.93 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $54.95 Typical High $75.86 | Professional | 26 · Professional part | $33.88 | $54.95 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $147.91 Typical High $223.87 | Professional | TC · Technical part | $81.28 | $147.91 | $223.87 |
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 $44.67 Median $60.26 Typical High $74.13 | Professional | 52 · Reduced service | $44.67 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $23.99 Typical High $29.51 | Professional | 53 · Discontinued | $17.78 | $23.99 | $29.51 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $223.87 Median $288.40 Typical High $338.84 | Professional | 22 · Increased work | $223.87 | $288.40 | $338.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $47.86 Typical High $56.23 | Professional | 55 · Aftercare only | $37.15 | $47.86 | $56.23 |
Where North Dakota sits
The same service costs 4.6 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· 7th of 51
$209
AK $324TX $70.79
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.