How much rates vary
Facilitymedian $100 · 10th to 90th $100 to $107Professionalmedian $155 · 10th to 90th $87 to $234
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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $100.00 | Professional | None (both parts) | $70.79 | $95.50 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $34.67 Typical High $39.81 | Professional | 26 · Professional part | $28.18 | $34.67 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $61.66 Typical High $64.57 | Professional | TC · Technical part | $38.90 | $61.66 | $64.57 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $204.17 | Professional | None (both parts) | $134.90 | $177.83 | $204.17 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $57.54 | $74.13 | $87.10 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $117.49 | Professional | TC · Technical part | $77.62 | $102.33 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $74.13 | $141.25 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $48.98 Typical High $85.11 | Professional | 26 · Professional part | $30.20 | $48.98 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $81.28 Typical High $117.49 | Professional | TC · Technical part | $42.66 | $81.28 | $117.49 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $302.00 | Facility | None | $100.00 | $100.00 | $302.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $190.55 Typical High $588.84 | Professional | None (both parts) | $102.33 | $190.55 | $588.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $72.44 Typical High $338.84 | Professional | 26 · Professional part | $37.15 | $72.44 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $120.23 Typical High $354.81 | Professional | TC · Technical part | $64.57 | $120.23 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $93.33 | $144.54 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $57.54 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $91.20 Typical High $120.23 | Professional | TC · Technical part | $60.26 | $91.20 | $120.23 |
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 $33.11 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $33.11 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $13.18 | $20.42 | $20.42 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $162.18 Median $208.93 Typical High $245.47 | Professional | 22 · Increased work | $162.18 | $208.93 | $245.47 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $269.15 Median $354.81 Typical High $407.38 | Professional | 50 · Both sides | $269.15 | $354.81 | $407.38 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $35.48 Typical High $40.74 | Professional | 55 · Aftercare only | $26.92 | $35.48 | $40.74 |
Where North Dakota sits
The same service costs 3.7 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
$155
AK $229TX $61.66
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.