How much rates vary
Facilitymedian $245 · 10th to 90th $245 to $741Professionalmedian $479 · 10th to 90th $245 to $1,096
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 $194.98 Median $245.47 Typical High $524.81 | Professional | None (both parts) | $194.98 | $245.47 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $154.88 | Professional | 26 · Professional part | $61.66 | $72.44 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $371.54 | Professional | TC · Technical part | $134.90 | $173.78 | $371.54 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $371.54 Median $489.78 Typical High $575.44 | Professional | None (both parts) | $371.54 | $489.78 | $575.44 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $151.36 Typical High $177.83 | Professional | 26 · Professional part | $117.49 | $151.36 | $177.83 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $331.13 Typical High $389.05 | Professional | TC · Technical part | $257.04 | $331.13 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $251.19 | $354.81 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $102.33 Typical High $173.78 | Professional | 26 · Professional part | $63.10 | $102.33 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $169.82 | $239.88 | $398.11 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $1,412.54 | Facility | None | $245.47 | $245.47 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $302.00 Median $1,096.48 Typical High $1,445.44 | Professional | None (both parts) | $302.00 | $1,096.48 | $1,445.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $165.96 Typical High $436.52 | Professional | 26 · Professional part | $74.13 | $165.96 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $933.25 Typical High $1,000.00 | Professional | TC · Technical part | $173.78 | $933.25 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $602.56 Typical High $1,096.48 | Professional | None (both parts) | $251.19 | $602.56 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $125.89 Typical High $181.97 | Professional | 26 · Professional part | $72.44 | $125.89 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $512.86 Typical High $933.25 | Professional | TC · Technical part | $173.78 | $512.86 | $933.25 |
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 $446.68 Median $575.44 Typical High $691.83 | Professional | 22 · Increased work | $446.68 | $575.44 | $691.83 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $97.72 Typical High $114.82 | Professional | 55 · Aftercare only | $74.13 | $97.72 | $114.82 |
Where North Dakota sits
The same service costs 6.5 times more in Wyoming than in Texas. 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· 9th of 51
$468
WY $851TX $132
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.