How much rates vary
Facilitymedian $126 · 10th to 90th $126 to $229Professionalmedian $219 · 10th to 90th $107 to $316
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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $144.54 | Professional | None (both parts) | $112.20 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $85.11 | Professional | 26 · Professional part | $60.26 | $67.61 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $64.57 | Professional | TC · Technical part | $53.70 | $57.54 | $64.57 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $213.80 Median $288.40 Typical High $316.23 | Professional | None (both parts) | $213.80 | $288.40 | $316.23 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $147.91 Typical High $169.82 | Professional | 26 · Professional part | $112.20 | $147.91 | $169.82 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $151.36 | Professional | TC · Technical part | $102.33 | $138.04 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $263.03 | Facility | None | $229.09 | $229.09 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $199.53 Typical High $275.42 | Professional | None (both parts) | $102.33 | $199.53 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $95.50 Typical High $147.91 | Professional | 26 · Professional part | $54.95 | $95.50 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $104.71 Typical High $144.54 | Professional | TC · Technical part | $45.71 | $104.71 | $144.54 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $218.78 | Facility | None | $125.89 | $125.89 | $218.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $134.90 Typical High $741.31 | Professional | None (both parts) | $91.20 | $134.90 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $114.82 Typical High $407.38 | Professional | 26 · Professional part | $69.18 | $114.82 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $87.10 Typical High $562.34 | Professional | TC · Technical part | $48.98 | $87.10 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $234.42 | Professional | None (both parts) | $95.50 | $138.04 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $53.70 | $77.62 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $70.79 Typical High $131.83 | Professional | TC · Technical part | $51.29 | $70.79 | $131.83 |
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 $56.23 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $56.23 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $22.91 | $25.12 | $25.12 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $257.04 Median $346.74 Typical High $380.19 | Professional | 22 · Increased work | $257.04 | $346.74 | $380.19 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $57.54 Typical High $64.57 | Professional | 55 · Aftercare only | $42.66 | $57.54 | $64.57 |
Where North Dakota sits
The same service costs 4.5 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· 5th of 51
$214
AK $372FL $83.18
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.