How much rates vary
Facilitymedian $316 · 10th to 90th $316 to $537Professionalmedian $661 · 10th to 90th $380 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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $707.95 | Professional | None (both parts) | $302.00 | $316.23 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $181.97 | Professional | 26 · Professional part | $75.86 | $81.28 | $181.97 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $234.42 Typical High $562.34 | Professional | TC · Technical part | $229.09 | $234.42 | $562.34 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $549.54 Median $707.95 Typical High $831.76 | Professional | None (both parts) | $549.54 | $707.95 | $831.76 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $165.96 Typical High $194.98 | Professional | 26 · Professional part | $128.82 | $165.96 | $194.98 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $549.54 Typical High $645.65 | Professional | TC · Technical part | $426.58 | $549.54 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $602.56 Typical High $912.01 | Professional | None (both parts) | $371.54 | $602.56 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $114.82 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $114.82 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $478.63 Typical High $741.31 | Professional | TC · Technical part | $281.84 | $478.63 | $741.31 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $2,951.21 | Facility | None | $316.23 | $316.23 | $2,951.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $389.05 Median $794.33 Typical High $3,019.95 | Professional | None (both parts) | $389.05 | $794.33 | $3,019.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $162.18 Typical High $524.81 | Professional | 26 · Professional part | $83.18 | $162.18 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $630.96 Typical High $2,630.27 | Professional | TC · Technical part | $295.12 | $630.96 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $645.65 Typical High $851.14 | Professional | None (both parts) | $380.19 | $645.65 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $138.04 Typical High $186.21 | Professional | 26 · Professional part | $79.43 | $138.04 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $512.86 Typical High $691.83 | Professional | TC · Technical part | $295.12 | $512.86 | $691.83 |
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 $660.69 Median $851.14 Typical High $1,000.00 | Professional | 22 · Increased work | $660.69 | $851.14 | $1,000.00 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $141.25 Typical High $165.96 | Professional | 55 · Aftercare only | $109.65 | $141.25 | $165.96 |
Where North Dakota sits
The same service costs 5.6 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
$646
WY $1,259TX $224
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.