How much rates vary
Facilitymedian $93 · 10th to 90th $93 to $158Professionalmedian $170 · 10th to 90th $93 to $240
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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $79.43 | $93.33 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $93.33 | Professional | 26 · Professional part | $41.69 | $50.12 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $45.71 Typical High $81.28 | Professional | TC · Technical part | $37.15 | $45.71 | $81.28 |
BCBS North Dakota Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $154.88 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $154.88 | $204.17 | $234.42 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $107.15 | $125.89 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $109.65 | Professional | TC · Technical part | $72.44 | $95.50 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $83.18 | $141.25 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $70.79 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $39.81 | $64.57 | $100.00 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $275.42 | Facility | None | $93.33 | $93.33 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $93.33 Median $190.55 Typical High $1,288.25 | Professional | None (both parts) | $93.33 | $190.55 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $100.00 Typical High $501.19 | Professional | 26 · Professional part | $50.12 | $100.00 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $89.13 Typical High $794.33 | Professional | TC · Technical part | $42.66 | $89.13 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $93.33 | $147.91 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $79.43 Typical High $107.15 | Professional | 26 · Professional part | $50.12 | $79.43 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $70.79 Typical High $95.50 | Professional | TC · Technical part | $42.66 | $70.79 | $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 $38.90 Median $45.71 Typical High $48.98 | Professional | 52 · Reduced service | $38.90 | $45.71 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $18.62 Typical High $19.50 | Professional | 53 · Discontinued | $15.49 | $18.62 | $19.50 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $186.21 Median $245.47 Typical High $281.84 | Professional | 22 · Increased work | $186.21 | $245.47 | $281.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $40.74 Typical High $47.86 | Professional | 55 · Aftercare only | $30.90 | $40.74 | $47.86 |
Where North Dakota sits
The same service costs 4.2 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· 7th of 51
$166
AK $275TX $66.07
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.