How much rates vary
Facilitymedian $398 · 10th to 90th $126 to $631Professionalmedian $224 · 10th to 90th $117 to $316
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 $125.89 Median $436.52 Typical High $676.08 | Facility | None | $125.89 | $436.52 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $104.71 | $125.89 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $66.07 | Professional | 26 · Professional part | $29.51 | $34.67 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $165.96 | Professional | TC · Technical part | $74.13 | $89.13 | $165.96 |
BCBS North Dakota Setting Facility Modifier None Typical Low $257.04 Median $380.19 Typical High $478.63 | Facility | None | $257.04 | $380.19 | $478.63 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $208.93 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $208.93 | $269.15 | $316.23 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $57.54 | $74.13 | $87.10 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $229.09 | Professional | TC · Technical part | $151.36 | $194.98 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $104.71 | $181.97 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $30.20 | $50.12 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $131.83 Typical High $204.17 | Professional | TC · Technical part | $72.44 | $131.83 | $204.17 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $316.23 Typical High $575.44 | Facility | None | $125.89 | $316.23 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $245.47 Typical High $776.25 | Professional | None (both parts) | $125.89 | $245.47 | $776.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $69.18 Typical High $288.40 | Professional | 26 · Professional part | $42.66 | $69.18 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $177.83 Typical High $575.44 | Professional | TC · Technical part | $89.13 | $177.83 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $257.04 | Professional | None (both parts) | $125.89 | $194.98 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $56.23 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $141.25 Typical High $181.97 | Professional | TC · Technical part | $89.13 | $141.25 | $181.97 |
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 $50.12 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $50.12 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $19.95 | $25.12 | $25.12 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $245.47 Median $323.59 Typical High $380.19 | Professional | 22 · Increased work | $245.47 | $323.59 | $380.19 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $53.70 Typical High $63.10 | Professional | 55 · Aftercare only | $41.69 | $53.70 | $63.10 |
Where North Dakota sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$234
AK $355FL $97.72
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.