How much rates vary
Facilitymedian $59 · 10th to 90th $59 to $977Professionalmedian $110 · 10th to 90th $58 to $178
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 $58.88 Median $58.88 Typical High $977.24 | Facility | None | $58.88 | $58.88 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $58.88 Typical High $147.91 | Professional | None (both parts) | $53.70 | $58.88 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $63.10 | Professional | 26 · Professional part | $22.39 | $26.30 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.11 Typical High $87.10 | Professional | TC · Technical part | $30.90 | $33.11 | $87.10 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $158.49 | Professional | None (both parts) | $102.33 | $134.90 | $158.49 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $54.95 | $64.57 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $93.33 | Professional | TC · Technical part | $61.66 | $79.43 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $91.20 Typical High $147.91 | Professional | None (both parts) | $54.95 | $91.20 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $37.15 Typical High $63.10 | Professional | 26 · Professional part | $23.44 | $37.15 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $54.95 Typical High $85.11 | Professional | TC · Technical part | $30.90 | $54.95 | $85.11 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $457.09 | Facility | None | $58.88 | $58.88 | $457.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $60.26 Median $109.65 Typical High $389.05 | Professional | None (both parts) | $60.26 | $109.65 | $389.05 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $52.48 Typical High $154.88 | Professional | 26 · Professional part | $26.92 | $52.48 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $57.54 Typical High $234.42 | Professional | TC · Technical part | $31.62 | $57.54 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $57.54 | $93.33 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $41.69 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $52.48 Typical High $72.44 | Professional | TC · Technical part | $31.62 | $52.48 | $72.44 |
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 $26.92 Median $29.51 Typical High $33.11 | Professional | 52 · Reduced service | $26.92 | $29.51 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.02 Typical High $13.18 | Professional | 53 · Discontinued | $10.72 | $12.02 | $13.18 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $123.03 Median $162.18 Typical High $190.55 | Professional | 22 · Increased work | $123.03 | $162.18 | $190.55 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $20.89 Median $26.92 Typical High $31.62 | Professional | 55 · Aftercare only | $20.89 | $26.92 | $31.62 |
Where North Dakota sits
The same service costs 3.8 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
$110
AK $178TX $46.77
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.