How much rates vary
Facilitymedian $1,660 · 10th to 90th $1,660 to $2,818Professionalmedian $646 · 10th to 90th $174 to $4,074
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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $1,659.59 Typical High $3,388.44 | Professional | None (both parts) | $107.15 | $1,659.59 | $3,388.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $190.55 | Professional | 26 · Professional part | $74.13 | $87.10 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $1,621.81 Typical High $3,311.31 | Professional | TC · Technical part | $75.86 | $1,621.81 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $309.03 Median $562.34 Typical High $724.44 | Professional | None (both parts) | $309.03 | $562.34 | $724.44 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $229.09 Typical High $281.84 | Professional | 26 · Professional part | $186.21 | $229.09 | $281.84 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $346.74 Typical High $446.68 | Professional | TC · Technical part | $95.50 | $346.74 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $123.03 | $199.53 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $131.83 Typical High $218.78 | Professional | 26 · Professional part | $81.28 | $131.83 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $38.90 | $70.79 | $123.03 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $1,659.59 Typical High $5,011.87 | Facility | None | $128.82 | $1,659.59 | $5,011.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $912.01 Median $2,089.30 Typical High $4,897.79 | Professional | None (both parts) | $912.01 | $2,089.30 | $4,897.79 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $169.82 Typical High $1,659.59 | Professional | 26 · Professional part | $87.10 | $169.82 | $1,659.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,949.84 Typical High $4,786.30 | Professional | TC · Technical part | $812.83 | $1,949.84 | $4,786.30 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $1,621.81 Typical High $3,162.28 | Professional | None (both parts) | $269.15 | $1,621.81 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $144.54 Typical High $186.21 | Professional | 26 · Professional part | $87.10 | $144.54 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $1,548.82 Typical High $2,951.21 | Professional | TC · Technical part | $81.28 | $1,548.82 | $2,951.21 |
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 $63.10 Median $831.76 Typical High $1,659.59 | Professional | 52 · Reduced service | $63.10 | $831.76 | $1,659.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $331.13 Typical High $676.08 | Professional | 53 · Discontinued | $25.12 | $331.13 | $676.08 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $371.54 Median $676.08 Typical High $870.96 | Professional | 22 · Increased work | $371.54 | $676.08 | $870.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $112.20 Typical High $144.54 | Professional | 55 · Aftercare only | $61.66 | $112.20 | $144.54 |
Where North Dakota sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 14th of 51
$661
CO $3,467NM $132
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.