How much rates vary
Facilitymedian $229 · 10th to 90th $85 to $525Professionalmedian $155 · 10th to 90th $85 to $224
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 $85.11 Median $275.42 Typical High $575.44 | Facility | None | $85.11 | $275.42 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $89.13 Typical High $158.49 | Professional | None (both parts) | $72.44 | $89.13 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $61.66 | Professional | 26 · Professional part | $27.54 | $32.36 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $100.00 | Professional | TC · Technical part | $43.65 | $54.95 | $100.00 |
BCBS North Dakota Setting Facility Modifier None Typical Low $154.88 Median $251.19 Typical High $323.59 | Facility | None | $154.88 | $251.19 | $323.59 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $144.54 | $186.21 | $218.78 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $70.79 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $70.79 | $81.28 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $117.49 Typical High $134.90 | Professional | TC · Technical part | $89.13 | $117.49 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $125.89 Typical High $204.17 | Professional | None (both parts) | $77.62 | $125.89 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $46.77 Typical High $77.62 | Professional | 26 · Professional part | $28.18 | $46.77 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $77.62 Typical High $123.03 | Professional | TC · Technical part | $48.98 | $77.62 | $123.03 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $190.55 Typical High $338.84 | Facility | None | $85.11 | $190.55 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $85.11 Median $173.78 Typical High $524.81 | Professional | None (both parts) | $85.11 | $173.78 | $524.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $66.07 Typical High $194.98 | Professional | 26 · Professional part | $33.11 | $66.07 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $104.71 Typical High $331.13 | Professional | TC · Technical part | $52.48 | $104.71 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $85.11 | $138.04 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $33.11 | $52.48 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $52.48 | $85.11 | $117.49 |
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 $35.48 Median $42.66 Typical High $44.67 | Professional | 52 · Reduced service | $35.48 | $42.66 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.98 Typical High $17.78 | Professional | 53 · Discontinued | $14.45 | $16.98 | $17.78 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $173.78 Median $223.87 Typical High $263.03 | Professional | 22 · Increased work | $173.78 | $223.87 | $263.03 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $37.15 Typical High $43.65 | Professional | 55 · Aftercare only | $28.84 | $37.15 | $43.65 |
Where North Dakota sits
The same service costs 3.6 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
$155
AK $245TX $67.61
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.