How much rates vary
Facilitymedian $7 · 10th to 90th $7 to $10Professionalmedian $14 · 10th to 90th $7 to $39
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 $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.17 Median $6.92 Typical High $9.33 | Professional | None (both parts) | $6.17 | $6.92 | $9.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.24 Median $2.69 Typical High $3.09 | Professional | 26 · Professional part | $2.24 | $2.69 | $3.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.72 Median $4.17 Typical High $7.08 | Professional | TC · Technical part | $3.72 | $4.17 | $7.08 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $13.49 Median $17.38 Typical High $20.42 | Professional | None (both parts) | $13.49 | $17.38 | $20.42 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $4.68 Median $6.03 Typical High $7.08 | Professional | 26 · Professional part | $4.68 | $6.03 | $7.08 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $11.48 Typical High $13.49 | Professional | TC · Technical part | $8.71 | $11.48 | $13.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $6.61 Median $12.59 Typical High $29.51 | Professional | None (both parts) | $6.61 | $12.59 | $29.51 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $3.89 Typical High $6.31 | Professional | 26 · Professional part | $2.51 | $3.89 | $6.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $7.94 Typical High $19.50 | Professional | TC · Technical part | $4.07 | $7.94 | $19.50 |
Medica Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $20.42 | Facility | None | $6.92 | $6.92 | $20.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $7.94 Median $14.45 Typical High $741.31 | Professional | None (both parts) | $7.94 | $14.45 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $5.37 Typical High $81.28 | Professional | 26 · Professional part | $2.88 | $5.37 | $81.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $8.91 Typical High $741.31 | Professional | TC · Technical part | $4.37 | $8.91 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $7.24 Median $12.02 Typical High $17.78 | Professional | None (both parts) | $7.24 | $12.02 | $17.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $4.68 Typical High $5.89 | Professional | 26 · Professional part | $2.88 | $4.68 | $5.89 |
United Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $7.59 Typical High $10.72 | Professional | TC · Technical part | $4.37 | $7.59 | $10.72 |
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 $3.09 Median $3.47 Typical High $4.68 | Professional | 52 · Reduced service | $3.09 | $3.47 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.38 Typical High $1.86 | Professional | 53 · Discontinued | $1.23 | $1.38 | $1.86 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $16.22 Median $20.89 Typical High $24.55 | Professional | 22 · Increased work | $16.22 | $20.89 | $24.55 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $3.47 Typical High $4.07 | Professional | 55 · Aftercare only | $2.69 | $3.47 | $4.07 |
Where North Dakota sits
The same service costs 4.2 times more in Kansas 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· 12th of 51
$13.80
KS $23.99FL $5.75
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.