How much rates vary
Facilitymedian $115 · 10th to 90th $115 to $398Professionalmedian $191 · 10th to 90th $102 to $288
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 $114.82 Median $114.82 Typical High $398.11 | Facility | None | $114.82 | $114.82 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $234.42 | Professional | None (both parts) | $85.11 | $114.82 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $27.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $177.83 | Professional | TC · Technical part | $61.66 | $87.10 | $177.83 |
BCBS North Dakota Setting Facility Modifier None Typical Low $239.88 Median $323.59 Typical High $354.81 | Facility | None | $239.88 | $323.59 | $354.81 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $281.84 | Professional | None (both parts) | $186.21 | $245.47 | $281.84 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $58.88 | $69.18 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $186.21 Typical High $213.80 | Professional | TC · Technical part | $141.25 | $186.21 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $95.50 | $162.18 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $24.55 | $38.02 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $125.89 Typical High $194.98 | Professional | TC · Technical part | $69.18 | $125.89 | $194.98 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $630.96 | Facility | None | $114.82 | $114.82 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $114.82 Median $190.55 Typical High $691.83 | Professional | None (both parts) | $114.82 | $190.55 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $56.23 Typical High $165.96 | Professional | 26 · Professional part | $28.18 | $56.23 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $134.90 Typical High $524.81 | Professional | TC · Technical part | $87.10 | $134.90 | $524.81 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $151.36 Typical High $223.87 | Professional | None (both parts) | $114.82 | $151.36 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $28.18 | $44.67 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $79.43 | $104.71 | $169.82 |
2 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $223.87 Median $295.12 Typical High $338.84 | Professional | 22 · Increased work | $223.87 | $295.12 | $338.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $48.98 Typical High $56.23 | Professional | 55 · Aftercare only | $37.15 | $48.98 | $56.23 |
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
$191
AK $316TX $83.18
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.