How much rates vary
Facilitymedian $245 · 10th to 90th $219 to $417Professionalmedian $240 · 10th to 90th $162 to $537
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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $275.42 | Professional | None (both parts) | $229.09 | $245.47 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $38.90 | $42.66 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $234.42 Typical High $257.04 | Professional | TC · Technical part | $218.78 | $234.42 | $257.04 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $177.83 | $234.42 | $263.03 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $112.20 | Professional | 26 · Professional part | $75.86 | $97.72 | $112.20 |
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 $190.55 Median $190.55 Typical High $218.78 | Facility | None | $190.55 | $190.55 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $165.96 Typical High $229.09 | Professional | None (both parts) | $85.11 | $165.96 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $34.67 | $61.66 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $102.33 Typical High $144.54 | Professional | TC · Technical part | $48.98 | $102.33 | $144.54 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $426.58 | Facility | None | $245.47 | $245.47 | $426.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $208.93 Median $457.09 Typical High $1,258.93 | Professional | None (both parts) | $208.93 | $457.09 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $72.44 Typical High $575.44 | Professional | 26 · Professional part | $40.74 | $72.44 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $398.11 Typical High $794.33 | Professional | TC · Technical part | $199.53 | $398.11 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $91.20 | $331.13 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $33.11 | $50.12 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $281.84 Typical High $446.68 | Professional | TC · Technical part | $53.70 | $281.84 | $446.68 |
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 $114.82 Median $123.03 Typical High $134.90 | Professional | 52 · Reduced service | $114.82 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $48.98 Typical High $54.95 | Professional | 53 · Discontinued | $45.71 | $48.98 | $54.95 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $213.80 Median $281.84 Typical High $316.23 | Professional | 22 · Increased work | $213.80 | $281.84 | $316.23 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $46.77 Typical High $52.48 | Professional | 55 · Aftercare only | $35.48 | $46.77 | $52.48 |
Where North Dakota sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 19th of 51
$240
NE $407NJ $112
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.