How much rates vary
Facilitymedian $37 · 10th to 90th $37 to $347Professionalmedian $68 · 10th to 90th $36 to $98
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 $37.15 Median $37.15 Typical High $398.11 | Facility | None | $37.15 | $37.15 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $37.15 Typical High $60.26 | Professional | None (both parts) | $28.18 | $37.15 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $14.13 Typical High $20.89 | Professional | 26 · Professional part | $10.00 | $14.13 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $23.44 Typical High $40.74 | Professional | TC · Technical part | $18.62 | $23.44 | $40.74 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $91.20 | Professional | None (both parts) | $58.88 | $75.86 | $91.20 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $25.12 Typical High $29.51 | Professional | 26 · Professional part | $19.50 | $25.12 | $29.51 |
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 $31.62 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $31.62 | $51.29 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $18.62 Typical High $31.62 | Professional | 26 · Professional part | $10.96 | $18.62 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $33.88 Typical High $56.23 | Professional | TC · Technical part | $19.95 | $33.88 | $56.23 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $112.20 | Facility | None | $37.15 | $37.15 | $112.20 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.02 Median $77.62 Typical High $194.98 | Professional | None (both parts) | $38.02 | $77.62 | $194.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $27.54 Typical High $69.18 | Professional | 26 · Professional part | $14.45 | $27.54 | $69.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $50.12 Typical High $128.82 | Professional | TC · Technical part | $23.44 | $50.12 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $66.07 Typical High $79.43 | Professional | None (both parts) | $38.02 | $66.07 | $79.43 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $24.55 Typical High $33.88 | Professional | 26 · Professional part | $14.45 | $24.55 | $33.88 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $41.69 Typical High $50.12 | Professional | TC · Technical part | $23.44 | $41.69 | $50.12 |
4 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.13 Median $18.62 Typical High $19.50 | Professional | 52 · Reduced service | $14.13 | $18.62 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $7.59 Typical High $7.94 | Professional | 53 · Discontinued | $5.62 | $7.59 | $7.94 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $70.79 Median $91.20 Typical High $107.15 | Professional | 22 · Increased work | $70.79 | $91.20 | $107.15 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.49 Typical High $18.20 | Professional | 55 · Aftercare only | $11.75 | $15.49 | $18.20 |
Where North Dakota sits
The same service costs 2.7 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· 7th of 51
$66.07
AK $83.18FL $30.90
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.