How much rates vary
Facilitymedian $316 · 10th to 90th $107 to $603Professionalmedian $174 · 10th to 90th $98 to $275
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 $107.15 Median $478.63 Typical High $741.31 | Facility | None | $107.15 | $478.63 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $85.11 | $112.20 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $31.62 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $144.54 | Professional | TC · Technical part | $58.88 | $81.28 | $144.54 |
BCBS North Dakota Setting Facility Modifier None Typical Low $257.04 Median $309.03 Typical High $416.87 | Facility | None | $257.04 | $309.03 | $416.87 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $263.03 | Professional | None (both parts) | $173.78 | $229.09 | $263.03 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $52.48 | $67.61 | $79.43 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $158.49 Typical High $181.97 | Professional | TC · Technical part | $120.23 | $158.49 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $89.13 | $154.88 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $28.84 | $45.71 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $107.15 Typical High $173.78 | Professional | TC · Technical part | $54.95 | $107.15 | $173.78 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $234.42 Typical High $416.87 | Facility | None | $107.15 | $234.42 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $162.18 Typical High $660.69 | Professional | None (both parts) | $102.33 | $162.18 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $64.57 Typical High $218.78 | Professional | 26 · Professional part | $35.48 | $64.57 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $120.23 Typical High $457.09 | Professional | TC · Technical part | $58.88 | $120.23 | $457.09 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $89.13 | $128.82 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $51.29 Typical High $67.61 | Professional | 26 · Professional part | $32.36 | $51.29 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $74.13 Typical High $144.54 | Professional | TC · Technical part | $51.29 | $74.13 | $144.54 |
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 $42.66 Median $52.48 Typical High $54.95 | Professional | 52 · Reduced service | $42.66 | $52.48 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $21.38 Typical High $21.88 | Professional | 53 · Discontinued | $16.98 | $21.38 | $21.88 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $208.93 Median $269.15 Typical High $316.23 | Professional | 22 · Increased work | $208.93 | $269.15 | $316.23 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $45.71 Typical High $52.48 | Professional | 55 · Aftercare only | $34.67 | $45.71 | $52.48 |
Where North Dakota sits
The same service costs 4.2 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
$186
AK $302UT $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.