How much rates vary
Facilitymedian $32 · 10th to 90th $32 to $112Professionalmedian $56 · 10th to 90th $31 to $87
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 $32.36 Median $32.36 Typical High $33.11 | Facility | None | $32.36 | $32.36 | $33.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $32.36 Typical High $74.13 | Professional | None (both parts) | $25.70 | $32.36 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.23 Typical High $22.39 | Professional | 26 · Professional part | $8.51 | $10.23 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $51.29 | Professional | TC · Technical part | $17.38 | $22.39 | $51.29 |
BCBS North Dakota Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $56.23 Median $72.44 Typical High $85.11 | Professional | None (both parts) | $56.23 | $72.44 | $85.11 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $21.38 Typical High $25.12 | Professional | 26 · Professional part | $16.60 | $21.38 | $25.12 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $60.26 | Professional | TC · Technical part | $39.81 | $51.29 | $60.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $48.98 Typical High $77.62 | Professional | None (both parts) | $28.84 | $48.98 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $14.79 Typical High $25.12 | Professional | 26 · Professional part | $8.91 | $14.79 | $25.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $34.67 Typical High $53.70 | Professional | TC · Technical part | $19.50 | $34.67 | $53.70 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $45.71 Typical High $112.20 | Facility | None | $32.36 | $45.71 | $112.20 |
Medica Setting Professional Modifier None (both parts) Typical Low $33.11 Median $56.23 Typical High $199.53 | Professional | None (both parts) | $33.11 | $56.23 | $199.53 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $21.88 Typical High $234.42 | Professional | 26 · Professional part | $10.47 | $21.88 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $38.02 Typical High $141.25 | Professional | TC · Technical part | $22.39 | $38.02 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $50.12 Typical High $72.44 | Professional | None (both parts) | $30.90 | $50.12 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $17.78 Typical High $24.55 | Professional | 26 · Professional part | $10.00 | $17.78 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $30.90 Typical High $47.86 | Professional | TC · Technical part | $20.42 | $30.90 | $47.86 |
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 $67.61 Median $87.10 Typical High $102.33 | Professional | 22 · Increased work | $67.61 | $87.10 | $102.33 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.22 Median $14.45 Typical High $16.98 | Professional | 55 · Aftercare only | $11.22 | $14.45 | $16.98 |
Where North Dakota sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$56.23
AK $93.33FL $24.55
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.