How much rates vary
Facilitymedian $117 · 10th to 90th $117 to $468Professionalmedian $209 · 10th to 90th $107 to $302
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 $117.49 Median $117.49 Typical High $575.44 | Facility | None | $117.49 | $117.49 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $117.49 Typical High $234.42 | Professional | None (both parts) | $85.11 | $117.49 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $66.07 | Professional | 26 · Professional part | $26.92 | $31.62 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $85.11 Typical High $162.18 | Professional | TC · Technical part | $57.54 | $85.11 | $162.18 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $288.40 | Professional | None (both parts) | $190.55 | $251.19 | $288.40 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $67.61 | $79.43 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $213.80 | Professional | TC · Technical part | $141.25 | $181.97 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $169.82 Typical High $281.84 | Professional | None (both parts) | $102.33 | $169.82 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $28.18 | $44.67 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $123.03 Typical High $204.17 | Professional | TC · Technical part | $69.18 | $123.03 | $204.17 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $371.54 | Facility | None | $117.49 | $117.49 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $239.88 Typical High $741.31 | Professional | None (both parts) | $117.49 | $239.88 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $64.57 Typical High $1,548.82 | Professional | 26 · Professional part | $33.11 | $64.57 | $1,548.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $173.78 Typical High $549.54 | Professional | TC · Technical part | $85.11 | $173.78 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $186.21 Typical High $245.47 | Professional | None (both parts) | $117.49 | $186.21 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $51.29 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $51.29 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $138.04 Typical High $181.97 | Professional | TC · Technical part | $85.11 | $138.04 | $181.97 |
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 $46.77 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $46.77 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.44 Typical High $23.44 | Professional | 53 · Discontinued | $18.62 | $23.44 | $23.44 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $229.09 Median $302.00 Typical High $346.74 | Professional | 22 · Increased work | $229.09 | $302.00 | $346.74 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $50.12 Typical High $58.88 | Professional | 55 · Aftercare only | $38.02 | $50.12 | $58.88 |
Where North Dakota sits
The same service costs 3.9 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
$209
AK $339TX $87.10
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.