How much rates vary
Facilitymedian $54 · 10th to 90th $54 to $407Professionalmedian $105 · 10th to 90th $54 to $195
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 $53.70 Median $53.70 Typical High $416.87 | Facility | None | $53.70 | $53.70 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $74.13 Typical High $120.23 | Professional | None (both parts) | $45.71 | $74.13 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $40.74 Typical High $67.61 | Professional | 26 · Professional part | $29.51 | $40.74 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $32.36 Typical High $56.23 | Professional | TC · Technical part | $16.22 | $32.36 | $56.23 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $131.83 | Professional | None (both parts) | $85.11 | $112.20 | $131.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $69.18 | $81.28 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $42.66 Typical High $48.98 | Professional | TC · Technical part | $32.36 | $42.66 | $48.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $91.20 Typical High $154.88 | Professional | None (both parts) | $51.29 | $91.20 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $30.20 | $57.54 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $33.88 Typical High $75.86 | Professional | TC · Technical part | $21.88 | $33.88 | $75.86 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $158.49 | Facility | None | $53.70 | $53.70 | $158.49 |
Medica Setting Professional Modifier None (both parts) Typical Low $64.57 Median $186.21 Typical High $660.69 | Professional | None (both parts) | $64.57 | $186.21 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $107.15 Typical High $338.84 | Professional | 26 · Professional part | $38.90 | $107.15 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $77.62 Typical High $407.38 | Professional | TC · Technical part | $25.70 | $77.62 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $53.70 | $104.71 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $32.36 | $58.88 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $47.86 Typical High $79.43 | Professional | TC · Technical part | $21.88 | $47.86 | $79.43 |
5 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 $20.89 Median $26.92 Typical High $40.74 | Professional | 52 · Reduced service | $20.89 | $26.92 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $10.72 Typical High $16.60 | Professional | 53 · Discontinued | $8.32 | $10.72 | $16.60 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $102.33 Median $134.90 Typical High $154.88 | Professional | 22 · Increased work | $102.33 | $134.90 | $154.88 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $169.82 Median $223.87 Typical High $263.03 | Professional | 50 · Both sides | $169.82 | $223.87 | $263.03 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $22.39 Typical High $26.30 | Professional | 55 · Aftercare only | $16.98 | $22.39 | $26.30 |
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· 9th of 51
$102
AK $151TX $39.81
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.