How much rates vary
Facilitymedian $95 · 10th to 90th $95 to $372Professionalmedian $174 · 10th to 90th $93 to $275
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 $95.50 Median $95.50 Typical High $102.33 | Facility | None | $95.50 | $95.50 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $100.00 Typical High $245.47 | Professional | None (both parts) | $87.10 | $100.00 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $66.07 | Professional | 26 · Professional part | $22.91 | $28.18 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $177.83 | Professional | TC · Technical part | $63.10 | $72.44 | $177.83 |
BCBS North Dakota Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $173.78 | $223.87 | $263.03 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $58.88 | $69.18 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $162.18 Typical High $194.98 | Professional | TC · Technical part | $125.89 | $162.18 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $89.13 | $151.36 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $25.12 | $39.81 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $112.20 Typical High $177.83 | Professional | TC · Technical part | $64.57 | $112.20 | $177.83 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $416.87 | Facility | None | $95.50 | $95.50 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $173.78 Typical High $645.65 | Professional | None (both parts) | $91.20 | $173.78 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $53.70 Typical High $165.96 | Professional | 26 · Professional part | $26.92 | $53.70 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $120.23 Typical High $478.63 | Professional | TC · Technical part | $64.57 | $120.23 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $91.20 | $151.36 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $44.67 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $44.67 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $104.71 Typical High $147.91 | Professional | TC · Technical part | $64.57 | $104.71 | $147.91 |
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 $208.93 Median $269.15 Typical High $316.23 | Professional | 22 · Increased work | $208.93 | $269.15 | $316.23 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $44.67 Typical High $52.48 | Professional | 55 · Aftercare only | $34.67 | $44.67 | $52.48 |
Where North Dakota sits
The same service costs 3.8 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· 10th of 51
$174
AK $288UT $75.86
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.