How much rates vary
Facilitymedian $98 · 10th to 90th $98 to $166Professionalmedian $178 · 10th to 90th $98 to $251
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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $134.90 | Professional | None (both parts) | $83.18 | $97.72 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $37.15 | Professional | 26 · Professional part | $25.70 | $29.51 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $97.72 | Professional | TC · Technical part | $57.54 | $67.61 | $97.72 |
BCBS North Dakota Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $363.08 | Facility | None | $33.88 | $33.88 | $363.08 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $245.47 | Professional | None (both parts) | $162.18 | $213.80 | $245.47 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $75.86 | Professional | 26 · Professional part | $48.98 | $64.57 | $75.86 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $147.91 Typical High $173.78 | Professional | TC · Technical part | $112.20 | $147.91 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $85.11 | $141.25 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $26.92 | $41.69 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $57.54 | $100.00 | $154.88 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $288.40 | Facility | None | $97.72 | $97.72 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $97.72 Median $194.98 Typical High $602.56 | Professional | None (both parts) | $97.72 | $194.98 | $602.56 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $60.26 Typical High $181.97 | Professional | 26 · Professional part | $30.20 | $60.26 | $181.97 |
Medica Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $134.90 Typical High $426.58 | Professional | TC · Technical part | $67.61 | $134.90 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $97.72 | $151.36 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $47.86 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $67.61 | $107.15 | $144.54 |
2 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $194.98 Median $257.04 Typical High $295.12 | Professional | 22 · Increased work | $194.98 | $257.04 | $295.12 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $42.66 Typical High $48.98 | Professional | 55 · Aftercare only | $32.36 | $42.66 | $48.98 |
Where North Dakota sits
The same service costs 3.9 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
$178
AK $282UT $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.