How much rates vary
Facilitymedian $63 · 10th to 90th $63 to $135Professionalmedian $126 · 10th to 90th $63 to $195
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 $63.10 Median $63.10 Typical High $67.61 | Facility | None | $63.10 | $63.10 | $67.61 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $63.10 Typical High $125.89 | Professional | None (both parts) | $57.54 | $63.10 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.39 Typical High $41.69 | Professional | 26 · Professional part | $18.62 | $22.39 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $41.69 Typical High $85.11 | Professional | TC · Technical part | $38.02 | $41.69 | $85.11 |
BCBS North Dakota Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $114.82 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $114.82 | $147.91 | $173.78 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $36.31 | $46.77 | $54.95 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $77.62 | $100.00 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $100.00 Typical High $169.82 | Professional | None (both parts) | $58.88 | $100.00 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $19.95 | $31.62 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $69.18 Typical High $117.49 | Professional | TC · Technical part | $38.90 | $69.18 | $117.49 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $190.55 | Facility | None | $63.10 | $63.10 | $190.55 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $128.82 Typical High $416.87 | Professional | None (both parts) | $61.66 | $128.82 | $416.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $45.71 Typical High $131.83 | Professional | 26 · Professional part | $21.88 | $45.71 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $83.18 Typical High $288.40 | Professional | TC · Technical part | $39.81 | $83.18 | $288.40 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $102.33 Typical High $141.25 | Professional | None (both parts) | $61.66 | $102.33 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $21.38 | $35.48 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $67.61 Typical High $93.33 | Professional | TC · Technical part | $39.81 | $67.61 | $93.33 |
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 $138.04 Median $177.83 Typical High $208.93 | Professional | 22 · Increased work | $138.04 | $177.83 | $208.93 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $29.51 Typical High $34.67 | Professional | 55 · Aftercare only | $22.91 | $29.51 | $34.67 |
Where North Dakota sits
The same service costs 5.9 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· 8th of 51
$123
AK $195UT $33.11
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.