How much rates vary
Facilitymedian $117 · 10th to 90th $117 to $479Professionalmedian $257 · 10th to 90th $117 to $363
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 $117.49 Median $117.49 Typical High $575.44 | Facility | None | $117.49 | $117.49 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $239.88 | Professional | None (both parts) | $89.13 | $117.49 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $37.15 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $79.43 Typical High $173.78 | Professional | TC · Technical part | $58.88 | $79.43 | $173.78 |
BCBS North Dakota Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $457.09 | Facility | None | $389.05 | $389.05 | $457.09 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $229.09 Median $302.00 Typical High $354.81 | Professional | None (both parts) | $229.09 | $302.00 | $354.81 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $77.62 | $91.20 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $263.03 | Professional | TC · Technical part | $169.82 | $223.87 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $117.49 | $208.93 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $89.13 | Professional | 26 · Professional part | $33.11 | $52.48 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $154.88 Typical High $245.47 | Professional | TC · Technical part | $85.11 | $154.88 | $245.47 |
Medica Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $346.74 | Facility | None | $117.49 | $117.49 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $295.12 Typical High $741.31 | Professional | None (both parts) | $144.54 | $295.12 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $74.13 Typical High $263.03 | Professional | 26 · Professional part | $38.02 | $74.13 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $223.87 Typical High $512.86 | Professional | TC · Technical part | $107.15 | $223.87 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $295.12 | Professional | None (both parts) | $144.54 | $229.09 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $60.26 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $223.87 | Professional | TC · Technical part | $107.15 | $169.82 | $223.87 |
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 $47.86 Median $58.88 Typical High $58.88 | Professional | 52 · Reduced service | $47.86 | $58.88 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $23.44 Typical High $23.99 | Professional | 53 · Discontinued | $19.05 | $23.44 | $23.99 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $275.42 Median $363.08 Typical High $426.58 | Professional | 22 · Increased work | $275.42 | $363.08 | $426.58 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $60.26 Typical High $70.79 | Professional | 55 · Aftercare only | $46.77 | $60.26 | $70.79 |
Where North Dakota sits
The same service costs 3.7 times more in Alaska than in Texas. 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· 5th of 51
$257
AK $363TX $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.