How much rates vary
Facilitymedian $151 · 10th to 90th $151 to $257Professionalmedian $282 · 10th to 90th $145 to $631
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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $120.23 | $151.36 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $74.13 | Professional | 26 · Professional part | $57.54 | $67.61 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $81.28 | $141.25 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $239.88 | $309.03 | $363.08 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $144.54 Typical High $169.82 | Professional | 26 · Professional part | $112.20 | $144.54 | $169.82 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $125.89 | $162.18 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $128.82 | $263.03 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $100.00 Typical High $165.96 | Professional | 26 · Professional part | $61.66 | $100.00 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $141.25 Typical High $354.81 | Professional | TC · Technical part | $69.18 | $141.25 | $354.81 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $1,412.54 | Facility | None | $151.36 | $151.36 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $316.23 Typical High $4,168.69 | Professional | None (both parts) | $173.78 | $316.23 | $4,168.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $138.04 Typical High $724.44 | Professional | 26 · Professional part | $69.18 | $138.04 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $177.83 Typical High $3,467.37 | Professional | TC · Technical part | $83.18 | $177.83 | $3,467.37 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $263.03 Typical High $389.05 | Professional | None (both parts) | $144.54 | $263.03 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $107.15 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $107.15 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $77.62 | $144.54 | $213.80 |
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 $60.26 Median $75.86 Typical High $102.33 | Professional | 52 · Reduced service | $60.26 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $30.20 Typical High $40.74 | Professional | 53 · Discontinued | $23.99 | $30.20 | $40.74 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $288.40 Median $371.54 Typical High $436.52 | Professional | 22 · Increased work | $288.40 | $371.54 | $436.52 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $61.66 Typical High $72.44 | Professional | 55 · Aftercare only | $47.86 | $61.66 | $72.44 |
Where North Dakota sits
The same service costs 4.7 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· 11th of 51
$275
AK $427TX $91.20
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.