How much rates vary
Facilitymedian $145 · 10th to 90th $112 to $263Professionalmedian $240 · 10th to 90th $132 to $490
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 $144.54 Median $144.54 Typical High $213.80 | Facility | None | $144.54 | $144.54 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $323.59 | Professional | None (both parts) | $114.82 | $144.54 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $28.84 | $33.88 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $245.47 | Professional | TC · Technical part | $85.11 | $112.20 | $245.47 |
BCBS North Dakota Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $426.58 | Professional | None (both parts) | $213.80 | $281.84 | $426.58 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $72.44 | $85.11 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $354.81 | Professional | TC · Technical part | $154.88 | $208.93 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $302.00 Typical High $426.58 | Professional | None (both parts) | $131.83 | $302.00 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $48.98 Typical High $83.18 | Professional | 26 · Professional part | $30.90 | $48.98 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $257.04 Typical High $354.81 | Professional | TC · Technical part | $89.13 | $257.04 | $354.81 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $144.54 Typical High $263.03 | Facility | None | $91.20 | $144.54 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $891.25 | Professional | None (both parts) | $144.54 | $239.88 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $67.61 Typical High $371.54 | Professional | 26 · Professional part | $34.67 | $67.61 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $158.49 Typical High $691.83 | Professional | TC · Technical part | $100.00 | $158.49 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $181.97 Typical High $302.00 | Professional | None (both parts) | $125.89 | $181.97 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $53.70 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $125.89 Typical High $234.42 | Professional | TC · Technical part | $83.18 | $125.89 | $234.42 |
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 $57.54 Median $72.44 Typical High $72.44 | Professional | 52 · Reduced service | $57.54 | $72.44 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $29.51 Typical High $29.51 | Professional | 53 · Discontinued | $22.91 | $29.51 | $29.51 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $251.19 Median $338.84 Typical High $512.86 | Professional | 22 · Increased work | $251.19 | $338.84 | $512.86 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $56.23 Typical High $85.11 | Professional | 55 · Aftercare only | $42.66 | $56.23 | $85.11 |
Where North Dakota sits
The same service costs 4.9 times more in Wyoming 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· 9th of 51
$234
WY $501UT $102
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.