How much rates vary
Facilitymedian $427 · 10th to 90th $138 to $676Professionalmedian $245 · 10th to 90th $132 to $363
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $138.04 Median $478.63 Typical High $676.08 | Facility | None | $138.04 | $478.63 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $316.23 | Professional | None (both parts) | $112.20 | $138.04 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $85.11 | Professional | 26 · Professional part | $32.36 | $38.02 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $208.93 | Professional | TC · Technical part | $79.43 | $100.00 | $208.93 |
BCBS North Dakota Setting Facility Modifier None Typical Low $281.84 Median $389.05 Typical High $501.19 | Facility | None | $281.84 | $389.05 | $501.19 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $338.84 | Professional | None (both parts) | $223.87 | $288.40 | $338.84 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $79.43 | $93.33 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $208.93 Typical High $245.47 | Professional | TC · Technical part | $162.18 | $208.93 | $245.47 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $114.82 | $199.53 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $34.67 | $53.70 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $144.54 Typical High $223.87 | Professional | TC · Technical part | $81.28 | $144.54 | $223.87 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $288.40 Typical High $602.56 | Facility | None | $138.04 | $288.40 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $275.42 Typical High $831.76 | Professional | None (both parts) | $138.04 | $275.42 | $831.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $74.13 Typical High $229.09 | Professional | 26 · Professional part | $51.29 | $74.13 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $199.53 Typical High $602.56 | Professional | TC · Technical part | $104.71 | $199.53 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $229.09 Typical High $302.00 | Professional | None (both parts) | $138.04 | $229.09 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $38.90 | $64.57 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $162.18 Typical High $213.80 | Professional | TC · Technical part | $100.00 | $162.18 | $213.80 |
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 $269.15 Median $346.74 Typical High $407.38 | Professional | 22 · Increased work | $269.15 | $346.74 | $407.38 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $57.54 Typical High $67.61 | Professional | 55 · Aftercare only | $44.67 | $57.54 | $67.61 |
Where North Dakota sits
The same service costs 5.4 times more in Vermont 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· 7th of 51
$269
VT $550TX $102
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.