How much rates vary
Facilitymedian $74 · 10th to 90th $74 to $339Professionalmedian $135 · 10th to 90th $71 to $195
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 $74.13 Median $74.13 Typical High $457.09 | Facility | None | $74.13 | $74.13 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $74.13 Typical High $125.89 | Professional | None (both parts) | $60.26 | $74.13 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $24.55 | $28.84 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $45.71 Typical High $83.18 | Professional | TC · Technical part | $34.67 | $45.71 | $83.18 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $186.21 | Professional | None (both parts) | $123.03 | $162.18 | $186.21 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $72.44 | Professional | 26 · Professional part | $47.86 | $63.10 | $72.44 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $74.13 | $97.72 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $112.20 Typical High $169.82 | Professional | None (both parts) | $63.10 | $112.20 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $25.70 | $41.69 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $69.18 Typical High $102.33 | Professional | TC · Technical part | $37.15 | $69.18 | $102.33 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $331.13 | Facility | None | $74.13 | $74.13 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $74.13 Median $154.88 Typical High $537.03 | Professional | None (both parts) | $74.13 | $154.88 | $537.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $58.88 Typical High $239.88 | Professional | 26 · Professional part | $29.51 | $58.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $95.50 Typical High $389.05 | Professional | TC · Technical part | $45.71 | $95.50 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $74.13 Median $117.49 Typical High $154.88 | Professional | None (both parts) | $74.13 | $117.49 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $46.77 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $74.13 Typical High $95.50 | Professional | TC · Technical part | $45.71 | $74.13 | $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 $29.51 Median $37.15 Typical High $37.15 | Professional | 52 · Reduced service | $29.51 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $14.79 Typical High $14.79 | Professional | 53 · Discontinued | $12.02 | $14.79 | $14.79 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $147.91 Median $190.55 Typical High $223.87 | Professional | 22 · Increased work | $147.91 | $190.55 | $223.87 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $32.36 Typical High $37.15 | Professional | 55 · Aftercare only | $24.55 | $32.36 | $37.15 |
Where North Dakota sits
The same service costs 4.4 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
$132
AK $214UT $48.98
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.