How much rates vary
Facilitymedian $89 · 10th to 90th $89 to $724Professionalmedian $263 · 10th to 90th $148 to $437
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 $89.13 Median $89.13 Typical High $234.42 | Facility | None | $89.13 | $89.13 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $151.36 Typical High $331.13 | Professional | None (both parts) | $89.13 | $151.36 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $114.82 | Professional | 26 · Professional part | $33.88 | $46.77 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $102.33 Typical High $218.78 | Professional | TC · Technical part | $56.23 | $102.33 | $218.78 |
BCBS North Dakota Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $724.44 | Facility | None | $707.95 | $707.95 | $724.44 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $354.81 | Professional | None (both parts) | $234.42 | $302.00 | $354.81 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $102.33 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $102.33 | $120.23 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $199.53 Typical High $234.42 | Professional | TC · Technical part | $154.88 | $199.53 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $154.88 | $223.87 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $67.61 Typical High $114.82 | Professional | 26 · Professional part | $44.67 | $67.61 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $151.36 Typical High $239.88 | Professional | TC · Technical part | $100.00 | $151.36 | $239.88 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $151.36 Typical High $954.99 | Facility | None | $89.13 | $151.36 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $151.36 Median $295.12 Typical High $1,047.13 | Professional | None (both parts) | $151.36 | $295.12 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $97.72 Typical High $288.40 | Professional | 26 · Professional part | $48.98 | $97.72 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $194.98 Typical High $776.25 | Professional | TC · Technical part | $107.15 | $194.98 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $309.03 | Professional | None (both parts) | $147.91 | $239.88 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $47.86 | $81.28 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $162.18 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $162.18 | $218.78 |
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 $44.67 Median $63.10 Typical High $91.20 | Professional | 52 · Reduced service | $44.67 | $63.10 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $25.12 Typical High $37.15 | Professional | 53 · Discontinued | $17.78 | $25.12 | $37.15 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $281.84 Median $363.08 Typical High $426.58 | Professional | 22 · Increased work | $281.84 | $363.08 | $426.58 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $60.26 Typical High $70.79 | Professional | 55 · Aftercare only | $46.77 | $60.26 | $70.79 |
Where North Dakota sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 8th of 51
$263
AK $447UT $105
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.