How much rates vary
Facilitymedian $100 · 10th to 90th $100 to $191Professionalmedian $182 · 10th to 90th $95 to $245
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $91.20 | $100.00 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $89.13 | Professional | 26 · Professional part | $30.90 | $34.67 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $64.57 | $128.82 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $251.19 | Professional | None (both parts) | $165.96 | $218.78 | $251.19 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $87.10 | $100.00 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $151.36 | Professional | TC · Technical part | $100.00 | $131.83 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $190.55 | Facility | None | $165.96 | $165.96 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $85.11 | $147.91 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $56.23 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $91.20 Typical High $144.54 | Professional | TC · Technical part | $52.48 | $91.20 | $144.54 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $302.00 | Facility | None | $100.00 | $100.00 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $181.97 Typical High $758.58 | Professional | None (both parts) | $95.50 | $181.97 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $58.88 Typical High $269.15 | Professional | 26 · Professional part | $33.88 | $58.88 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $123.03 Typical High $501.19 | Professional | TC · Technical part | $61.66 | $123.03 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $85.11 | $120.23 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $44.67 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $44.67 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $79.43 | $144.54 |
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 $45.71 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $45.71 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $18.20 | $19.95 | $19.95 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $199.53 Median $263.03 Typical High $302.00 | Professional | 22 · Increased work | $199.53 | $263.03 | $302.00 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $43.65 Typical High $50.12 | Professional | 55 · Aftercare only | $33.11 | $43.65 | $50.12 |
Where North Dakota sits
The same service costs 4.5 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
$182
AK $295TX $66.07
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.