How much rates vary
Facilitymedian $145 · 10th to 90th $145 to $427Professionalmedian $288 · 10th to 90th $145 to $513
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 $144.54 Median $144.54 Typical High $416.87 | Facility | None | $144.54 | $144.54 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $331.13 | Professional | None (both parts) | $120.23 | $144.54 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $123.03 | Professional | 26 · Professional part | $47.86 | $57.54 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $218.78 | Professional | TC · Technical part | $72.44 | $89.13 | $218.78 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $331.13 Median $436.52 Typical High $501.19 | Professional | None (both parts) | $331.13 | $436.52 | $501.19 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $173.78 | Professional | 26 · Professional part | $112.20 | $147.91 | $173.78 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $288.40 Typical High $331.13 | Professional | TC · Technical part | $223.87 | $288.40 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $125.89 | $269.15 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $89.13 Typical High $144.54 | Professional | 26 · Professional part | $53.70 | $89.13 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $69.18 | $181.97 | $257.04 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $524.81 | Facility | None | $144.54 | $144.54 | $524.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $288.40 Typical High $933.25 | Professional | None (both parts) | $144.54 | $288.40 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $117.49 Typical High $363.08 | Professional | 26 · Professional part | $60.26 | $117.49 | $363.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $169.82 Typical High $575.44 | Professional | TC · Technical part | $85.11 | $169.82 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $144.54 | $229.09 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $93.33 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $134.90 Typical High $177.83 | Professional | TC · Technical part | $85.11 | $134.90 | $177.83 |
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 $60.26 Median $70.79 Typical High $87.10 | Professional | 52 · Reduced service | $60.26 | $70.79 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $28.84 Typical High $34.67 | Professional | 53 · Discontinued | $23.99 | $28.84 | $34.67 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $398.11 Median $524.81 Typical High $602.56 | Professional | 22 · Increased work | $398.11 | $524.81 | $602.56 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $87.10 Typical High $100.00 | Professional | 55 · Aftercare only | $67.61 | $87.10 | $100.00 |
Where North Dakota sits
The same service costs 4.9 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
$288
AK $468UT $95.50
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.