How much rates vary
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 $57.54 Median $208.93 Typical High $537.03 | Facility | None | $57.54 | $208.93 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $57.54 Typical High $114.82 | Professional | None (both parts) | $28.18 | $57.54 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $24.55 Typical High $56.23 | Professional | 26 · Professional part | $17.78 | $24.55 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $32.36 Typical High $57.54 | Professional | TC · Technical part | $9.12 | $32.36 | $57.54 |
BCBS North Dakota Setting Facility Modifier None Typical Low $102.33 Median $134.90 Typical High $288.40 | Facility | None | $102.33 | $134.90 | $288.40 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $64.57 Median $112.20 Typical High $154.88 | Professional | None (both parts) | $64.57 | $112.20 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $38.02 | $97.72 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $23.44 | $48.98 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $48.98 Typical High $70.79 | Professional | TC · Technical part | $12.88 | $48.98 | $70.79 |
Medica Setting Facility Modifier None Typical Low $57.54 Median $173.78 Typical High $371.54 | Facility | None | $57.54 | $173.78 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $50.12 Median $72.44 Typical High $363.08 | Professional | None (both parts) | $50.12 | $72.44 | $363.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $57.54 Typical High $199.53 | Professional | 26 · Professional part | $26.92 | $57.54 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $33.11 Typical High $213.80 | Professional | TC · Technical part | $15.85 | $33.11 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $67.61 Typical High $107.15 | Professional | None (both parts) | $44.67 | $67.61 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $39.81 Typical High $51.29 | Professional | 26 · Professional part | $25.12 | $39.81 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $31.62 Typical High $60.26 | Professional | TC · Technical part | $14.79 | $31.62 | $60.26 |
2 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $134.90 Median $177.83 Typical High $204.17 | Professional | 22 · Increased work | $134.90 | $177.83 | $204.17 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $29.51 Typical High $34.67 | Professional | 55 · Aftercare only | $22.39 | $29.51 | $34.67 |
Where North Dakota sits
The same service costs 5.1 times more in Alaska than in Kentucky. 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· 12th of 51
$85.11
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.