How much rates vary
Facilitymedian $234 · 10th to 90th $59 to $479Professionalmedian $115 · 10th to 90th $60 to $182
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $58.88 Median $107.15 Typical High $676.08 | Facility | None | $58.88 | $107.15 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $85.11 Typical High $154.88 | Professional | None (both parts) | $51.29 | $85.11 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $28.84 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $44.67 Typical High $102.33 | Professional | TC · Technical part | $26.30 | $44.67 | $102.33 |
BCBS North Dakota Setting Facility Modifier None Typical Low $123.03 Median $269.15 Typical High $371.54 | Facility | None | $123.03 | $269.15 | $371.54 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $107.15 | $141.25 | $162.18 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $61.66 | $72.44 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $58.88 | $77.62 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $107.15 Typical High $154.88 | Professional | None (both parts) | $60.26 | $107.15 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $69.18 | Professional | 26 · Professional part | $26.30 | $41.69 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $63.10 Typical High $91.20 | Professional | TC · Technical part | $30.90 | $63.10 | $91.20 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $87.10 Typical High $323.59 | Facility | None | $58.88 | $87.10 | $323.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $70.79 Median $117.49 Typical High $562.34 | Professional | None (both parts) | $70.79 | $117.49 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $57.54 Typical High $186.21 | Professional | 26 · Professional part | $29.51 | $57.54 | $186.21 |
Medica Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $60.26 Typical High $398.11 | Professional | TC · Technical part | $36.31 | $60.26 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $60.26 | $97.72 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $46.77 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $50.12 Typical High $75.86 | Professional | TC · Technical part | $30.20 | $50.12 | $75.86 |
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 $25.70 Median $29.51 Typical High $42.66 | Professional | 52 · Reduced service | $25.70 | $29.51 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $11.75 Typical High $16.98 | Professional | 53 · Discontinued | $10.23 | $11.75 | $16.98 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $128.82 Median $165.96 Typical High $194.98 | Professional | 22 · Increased work | $128.82 | $165.96 | $194.98 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $28.18 Typical High $32.36 | Professional | 55 · Aftercare only | $21.38 | $28.18 | $32.36 |
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· 6th of 51
$117
AK $182TX $47.86
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.