How much rates vary
Facilitymedian $200 · 10th to 90th $200 to $339Professionalmedian $363 · 10th to 90th $174 to $525
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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $134.90 | $194.98 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $89.13 | $186.21 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $109.65 Typical High $204.17 | Professional | TC · Technical part | $57.54 | $109.65 | $204.17 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $524.81 | Professional | None (both parts) | $338.84 | $446.68 | $524.81 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $194.98 Typical High $229.09 | Professional | 26 · Professional part | $151.36 | $194.98 | $229.09 |
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 $169.82 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $169.82 | $288.40 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $128.82 Typical High $218.78 | Professional | 26 · Professional part | $79.43 | $128.82 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $83.18 | $162.18 | $263.03 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $602.56 | Facility | None | $199.53 | $199.53 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $416.87 Typical High $1,230.27 | Professional | None (both parts) | $204.17 | $416.87 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $186.21 Typical High $575.44 | Professional | 26 · Professional part | $91.20 | $186.21 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $229.09 Typical High $707.95 | Professional | TC · Technical part | $112.20 | $229.09 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $204.17 | $316.23 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $147.91 Typical High $190.55 | Professional | 26 · Professional part | $91.20 | $147.91 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $181.97 Typical High $234.42 | Professional | TC · Technical part | $112.20 | $181.97 | $234.42 |
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 $75.86 Median $100.00 Typical High $100.00 | Professional | 52 · Reduced service | $75.86 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $39.81 Typical High $39.81 | Professional | 53 · Discontinued | $30.20 | $39.81 | $39.81 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $407.38 Median $537.03 Typical High $630.96 | Professional | 22 · Increased work | $407.38 | $537.03 | $630.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $89.13 Typical High $104.71 | Professional | 55 · Aftercare only | $67.61 | $89.13 | $104.71 |
Where North Dakota sits
The same service costs 5.8 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· 7th of 51
$363
AK $589UT $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.