How much rates vary
Facilitymedian $12 · 10th to 90th $12 to $20Professionalmedian $23 · 10th to 90th $12 to $32
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 $11.22 Median $12.02 Typical High $20.42 | Facility | None | $11.22 | $12.02 | $20.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.47 Median $12.02 Typical High $25.70 | Professional | None (both parts) | $10.47 | $12.02 | $25.70 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.32 Typical High $18.20 | Professional | 26 · Professional part | $7.41 | $8.32 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $3.89 Typical High $8.51 | Professional | TC · Technical part | $3.24 | $3.89 | $8.51 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $20.42 Median $26.92 Typical High $31.62 | Professional | None (both parts) | $20.42 | $26.92 | $31.62 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.78 Typical High $20.42 | Professional | 26 · Professional part | $13.49 | $17.78 | $20.42 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $9.12 Typical High $10.47 | Professional | TC · Technical part | $7.08 | $9.12 | $10.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $11.22 Median $19.50 Typical High $28.84 | Professional | None (both parts) | $11.22 | $19.50 | $28.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $13.18 Typical High $19.95 | Professional | 26 · Professional part | $7.24 | $13.18 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.24 Median $6.17 Typical High $9.77 | Professional | TC · Technical part | $3.24 | $6.17 | $9.77 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $35.48 | Facility | None | $12.02 | $12.02 | $35.48 |
Medica Setting Professional Modifier None (both parts) Typical Low $12.30 Median $28.84 Typical High $1,412.54 | Professional | None (both parts) | $12.30 | $28.84 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $19.95 Typical High $1,288.25 | Professional | 26 · Professional part | $8.32 | $19.95 | $1,288.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $10.00 Typical High $977.24 | Professional | TC · Technical part | $3.98 | $10.00 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $12.30 Median $19.95 Typical High $30.20 | Professional | None (both parts) | $12.30 | $19.95 | $30.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $13.49 Typical High $20.42 | Professional | 26 · Professional part | $8.32 | $13.49 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $3.98 Median $6.61 Typical High $10.47 | Professional | TC · Technical part | $3.98 | $6.61 | $10.47 |
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 $5.01 Median $5.89 Typical High $6.03 | Professional | 52 · Reduced service | $5.01 | $5.89 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.40 Typical High $2.45 | Professional | 53 · Discontinued | $2.00 | $2.40 | $2.45 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $24.55 Median $32.36 Typical High $37.15 | Professional | 22 · Increased work | $24.55 | $32.36 | $37.15 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $4.07 Median $5.37 Typical High $6.31 | Professional | 55 · Aftercare only | $4.07 | $5.37 | $6.31 |
Where North Dakota sits
The same service costs 3.9 times more in Alaska than in Florida. 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
$21.88
AK $35.48FL $9.12
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.