How much rates vary
Facilitymedian $54 · 10th to 90th $54 to $263Professionalmedian $102 · 10th to 90th $54 to $162
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 $53.70 Median $53.70 Typical High $295.12 | Facility | None | $53.70 | $53.70 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $53.70 Typical High $93.33 | Professional | None (both parts) | $42.66 | $53.70 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $26.92 | Professional | 26 · Professional part | $12.59 | $15.14 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $70.79 | Professional | TC · Technical part | $30.20 | $38.90 | $70.79 |
BCBS North Dakota Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $263.03 | Facility | None | $138.04 | $138.04 | $263.03 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $144.54 | Professional | None (both parts) | $95.50 | $123.03 | $144.54 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $32.36 Typical High $38.02 | Professional | 26 · Professional part | $25.12 | $32.36 | $38.02 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $91.20 Typical High $107.15 | Professional | TC · Technical part | $70.79 | $91.20 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $83.18 Typical High $128.82 | Professional | None (both parts) | $47.86 | $83.18 | $128.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $20.89 Typical High $36.31 | Professional | 26 · Professional part | $13.49 | $20.89 | $36.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $61.66 Typical High $97.72 | Professional | TC · Technical part | $34.67 | $61.66 | $97.72 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $162.18 | Facility | None | $53.70 | $53.70 | $162.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $53.70 Median $112.20 Typical High $323.59 | Professional | None (both parts) | $53.70 | $112.20 | $323.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $30.90 Typical High $91.20 | Professional | 26 · Professional part | $15.14 | $30.90 | $91.20 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $81.28 Typical High $234.42 | Professional | TC · Technical part | $38.90 | $81.28 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $51.29 Median $93.33 Typical High $123.03 | Professional | None (both parts) | $51.29 | $93.33 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $26.30 Typical High $35.48 | Professional | 26 · Professional part | $14.45 | $26.30 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $67.61 Typical High $87.10 | Professional | TC · Technical part | $37.15 | $67.61 | $87.10 |
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 $114.82 Median $147.91 Typical High $173.78 | Professional | 22 · Increased work | $114.82 | $147.91 | $173.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $19.05 Median $24.55 Typical High $28.84 | Professional | 55 · Aftercare only | $19.05 | $24.55 | $28.84 |
Where North Dakota sits
The same service costs 4.7 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· 6th of 51
$102
AK $155UT $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.