How much rates vary
Facilitymedian $295 · 10th to 90th $115 to $537Professionalmedian $209 · 10th to 90th $105 to $302
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 $114.82 Median $371.54 Typical High $537.03 | Facility | None | $114.82 | $371.54 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $229.09 | Professional | None (both parts) | $93.33 | $114.82 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $89.13 | Professional | 26 · Professional part | $36.31 | $42.66 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $141.25 | Professional | TC · Technical part | $56.23 | $72.44 | $141.25 |
BCBS North Dakota Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $354.81 | Facility | None | $213.80 | $295.12 | $354.81 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $295.12 | Professional | None (both parts) | $194.98 | $257.04 | $295.12 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $109.65 | Professional | 26 · Professional part | $72.44 | $93.33 | $109.65 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $162.18 Typical High $190.55 | Professional | TC · Technical part | $123.03 | $162.18 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $165.96 Typical High $275.42 | Professional | None (both parts) | $97.72 | $165.96 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $38.02 | $61.66 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $107.15 Typical High $169.82 | Professional | TC · Technical part | $58.88 | $107.15 | $169.82 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $190.55 Typical High $501.19 | Facility | None | $114.82 | $190.55 | $501.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $114.82 Median $234.42 Typical High $707.95 | Professional | None (both parts) | $114.82 | $234.42 | $707.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $89.13 Typical High $257.04 | Professional | 26 · Professional part | $52.48 | $89.13 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $147.91 Typical High $446.68 | Professional | TC · Technical part | $72.44 | $147.91 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $181.97 Typical High $239.88 | Professional | None (both parts) | $114.82 | $181.97 | $239.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $70.79 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $147.91 | Professional | TC · Technical part | $72.44 | $117.49 | $147.91 |
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 $45.71 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $45.71 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $18.62 | $22.91 | $22.91 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $234.42 Median $309.03 Typical High $354.81 | Professional | 22 · Increased work | $234.42 | $309.03 | $354.81 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $51.29 Typical High $58.88 | Professional | 55 · Aftercare only | $38.90 | $51.29 | $58.88 |
Where North Dakota sits
The same service costs 4.6 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· 6th of 51
$209
AK $331UT $72.44
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.