How much rates vary
Facilitymedian $166 · 10th to 90th $151 to $288Professionalmedian $295 · 10th to 90th $151 to $427
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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $199.53 | Professional | None (both parts) | $147.91 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $158.49 | Professional | 26 · Professional part | $89.13 | $102.33 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $63.10 Typical High $72.44 | Professional | TC · Technical part | $57.54 | $63.10 | $72.44 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $295.12 | $389.05 | $436.52 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $239.88 Typical High $275.42 | Professional | 26 · Professional part | $181.97 | $239.88 | $275.42 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $169.82 | Professional | TC · Technical part | $114.82 | $151.36 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $331.13 | Facility | None | $288.40 | $288.40 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $251.19 Typical High $354.81 | Professional | None (both parts) | $147.91 | $251.19 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $144.54 Typical High $223.87 | Professional | 26 · Professional part | $85.11 | $144.54 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $107.15 Typical High $147.91 | Professional | TC · Technical part | $57.54 | $107.15 | $147.91 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $165.96 Typical High $288.40 | Facility | None | $151.36 | $165.96 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $1,000.00 | Professional | None (both parts) | $134.90 | $204.17 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $173.78 Typical High $616.60 | Professional | 26 · Professional part | $104.71 | $173.78 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $9.55 Median $47.86 Typical High $776.25 | Professional | TC · Technical part | $9.55 | $47.86 | $776.25 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $134.90 | $204.17 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $125.89 Typical High $204.17 | Professional | 26 · Professional part | $85.11 | $125.89 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $12.88 | $74.13 | $138.04 |
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 $79.43 Median $83.18 Typical High $83.18 | Professional | 52 · Reduced service | $79.43 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.11 Typical High $33.11 | Professional | 53 · Discontinued | $31.62 | $33.11 | $33.11 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $354.81 Median $467.74 Typical High $524.81 | Professional | 22 · Increased work | $354.81 | $467.74 | $524.81 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $77.62 Typical High $87.10 | Professional | 55 · Aftercare only | $58.88 | $77.62 | $87.10 |
Where North Dakota sits
The same service costs 4.2 times more in Alaska than in Florida. 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· 6th of 51
$288
AK $501FL $120
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.