How much rates vary
Facilitymedian $16 · 10th to 90th $16 to $417Professionalmedian $50 · 10th to 90th $23 to $170
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 $16.22 Median $16.22 Typical High $416.87 | Facility | None | $16.22 | $16.22 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $42.66 Typical High $223.87 | Professional | None (both parts) | $16.22 | $42.66 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $10.23 Typical High $51.29 | Professional | 26 · Professional part | $6.92 | $10.23 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $28.18 Typical High $177.83 | Professional | TC · Technical part | $9.12 | $28.18 | $177.83 |
BCBS North Dakota Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $44.67 Median $57.54 Typical High $67.61 | Professional | None (both parts) | $44.67 | $57.54 | $67.61 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $25.12 | Professional | 26 · Professional part | $16.60 | $21.38 | $25.12 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $42.66 | Professional | TC · Technical part | $28.18 | $36.31 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $42.66 Typical High $138.04 | Professional | None (both parts) | $25.12 | $42.66 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.80 Typical High $23.44 | Professional | 26 · Professional part | $9.33 | $13.80 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $25.12 Typical High $117.49 | Professional | TC · Technical part | $13.80 | $25.12 | $117.49 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $27.54 Typical High $331.13 | Facility | None | $16.22 | $27.54 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $25.70 Median $46.77 Typical High $758.58 | Professional | None (both parts) | $25.70 | $46.77 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $19.95 Typical High $131.83 | Professional | 26 · Professional part | $10.00 | $19.95 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $26.92 Typical High $707.95 | Professional | TC · Technical part | $13.49 | $26.92 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $40.74 Typical High $81.28 | Professional | None (both parts) | $23.44 | $40.74 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.60 Typical High $21.38 | Professional | 26 · Professional part | $10.00 | $16.60 | $21.38 |
United Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $23.99 Typical High $53.70 | Professional | TC · Technical part | $13.49 | $23.99 | $53.70 |
2 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | 22 · Increased work | $53.70 | $69.18 | $81.28 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $11.48 Typical High $13.49 | Professional | 55 · Aftercare only | $8.91 | $11.48 | $13.49 |
Where North Dakota sits
The same service costs 4.8 times more in Kansas than in New York. 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· 17th of 51
$48.98
KS $107NY $22.39
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.