How much rates vary
Facilitymedian $158 · 10th to 90th $158 to $269Professionalmedian $282 · 10th to 90th $151 to $398
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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $338.84 | Professional | None (both parts) | $138.04 | $158.49 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $38.02 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $251.19 | Professional | TC · Technical part | $102.33 | $120.23 | $251.19 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $380.19 | Professional | None (both parts) | $251.19 | $331.13 | $380.19 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $79.43 | $93.33 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $251.19 Typical High $288.40 | Professional | TC · Technical part | $190.55 | $251.19 | $288.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $128.82 | $223.87 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $33.88 | $53.70 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $95.50 | $173.78 | $275.42 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $478.63 | Facility | None | $158.49 | $158.49 | $478.63 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $309.03 Typical High $977.24 | Professional | None (both parts) | $158.49 | $309.03 | $977.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $75.86 Typical High $229.09 | Professional | 26 · Professional part | $38.90 | $75.86 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $239.88 Typical High $741.31 | Professional | TC · Technical part | $120.23 | $239.88 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $316.23 | Professional | None (both parts) | $158.49 | $245.47 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $38.90 | $61.66 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $186.21 Typical High $239.88 | Professional | TC · Technical part | $120.23 | $186.21 | $239.88 |
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 $302.00 Median $398.11 Typical High $457.09 | Professional | 22 · Increased work | $302.00 | $398.11 | $457.09 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $50.12 Median $66.07 Typical High $75.86 | Professional | 55 · Aftercare only | $50.12 | $66.07 | $75.86 |
Where North Dakota sits
The same service costs 4.3 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· 8th of 51
$282
AK $437UT $102
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.