How much rates vary
Facilitymedian $49 · 10th to 90th $49 to $68Professionalmedian $98 · 10th to 90th $49 to $158
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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $48.98 Typical High $95.50 | Professional | None (both parts) | $43.65 | $48.98 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $36.31 | Professional | 26 · Professional part | $20.89 | $23.44 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.70 Typical High $60.26 | Professional | TC · Technical part | $22.39 | $25.70 | $60.26 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $83.18 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $83.18 | $109.65 | $128.82 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $51.29 | $60.26 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $67.61 | Professional | TC · Technical part | $44.67 | $58.88 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $89.13 Typical High $141.25 | Professional | None (both parts) | $47.86 | $89.13 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $20.89 | $39.81 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $46.77 Typical High $83.18 | Professional | TC · Technical part | $25.70 | $46.77 | $83.18 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $144.54 | Facility | None | $48.98 | $48.98 | $144.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $58.88 Median $151.36 Typical High $501.19 | Professional | None (both parts) | $58.88 | $151.36 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $63.10 Typical High $323.59 | Professional | 26 · Professional part | $25.12 | $63.10 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $91.20 Typical High $323.59 | Professional | TC · Technical part | $30.90 | $91.20 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $48.98 | $89.13 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $23.44 | $40.74 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $48.98 Typical High $95.50 | Professional | TC · Technical part | $25.70 | $48.98 | $95.50 |
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 $19.95 Median $24.55 Typical High $32.36 | Professional | 52 · Reduced service | $19.95 | $24.55 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.77 Typical High $12.88 | Professional | 53 · Discontinued | $8.13 | $9.77 | $12.88 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $100.00 Median $131.83 Typical High $154.88 | Professional | 22 · Increased work | $100.00 | $131.83 | $154.88 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $16.98 Median $21.88 Typical High $25.70 | Professional | 55 · Aftercare only | $16.98 | $21.88 | $25.70 |
Where North Dakota sits
The same service costs 4.5 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· 9th of 51
$97.72
AK $141UT $31.62
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.