How much rates vary
Facilitymedian $107 · 10th to 90th $107 to $145Professionalmedian $191 · 10th to 90th $102 to $275
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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $83.18 | $107.15 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $64.57 | Professional | 26 · Professional part | $26.92 | $30.90 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $144.54 | Professional | TC · Technical part | $56.23 | $74.13 | $144.54 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $169.82 | $223.87 | $257.04 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $50.12 | $66.07 | $77.62 |
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 $91.20 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $91.20 | $154.88 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $27.54 | $44.67 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $109.65 Typical High $173.78 | Professional | TC · Technical part | $61.66 | $109.65 | $173.78 |
Medica Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $316.23 | Facility | None | $107.15 | $107.15 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $218.78 Typical High $645.65 | Professional | None (both parts) | $107.15 | $218.78 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $60.26 Typical High $229.09 | Professional | 26 · Professional part | $31.62 | $60.26 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $162.18 Typical High $467.74 | Professional | TC · Technical part | $75.86 | $162.18 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $107.15 | $165.96 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $47.86 Typical High $66.07 | Professional | 26 · Professional part | $31.62 | $47.86 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $123.03 | $162.18 |
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 $41.69 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $41.69 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $16.60 | $21.38 | $21.38 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $204.17 Median $269.15 Typical High $309.03 | Professional | 22 · Increased work | $204.17 | $269.15 | $309.03 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $44.67 Typical High $52.48 | Professional | 55 · Aftercare only | $33.88 | $44.67 | $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
$191
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.