How much rates vary
Facilitymedian $65 · 10th to 90th $65 to $110Professionalmedian $112 · 10th to 90th $56 to $151
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 $64.57 Median $64.57 Typical High $72.44 | Facility | None | $64.57 | $64.57 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $64.57 Typical High $72.44 | Professional | None (both parts) | $56.23 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $40.74 | Professional | 26 · Professional part | $33.11 | $38.02 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $25.70 Typical High $31.62 | Professional | TC · Technical part | $23.99 | $25.70 | $31.62 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $112.20 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $112.20 | $151.36 | $151.36 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $63.10 | $85.11 | $85.11 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $66.07 | Professional | TC · Technical part | $48.98 | $66.07 | $66.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $114.82 Typical High $177.83 | Professional | None (both parts) | $45.71 | $114.82 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $25.70 | $64.57 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $50.12 Typical High $75.86 | Professional | TC · Technical part | $19.50 | $50.12 | $75.86 |
Medica Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $190.55 | Facility | None | $64.57 | $64.57 | $190.55 |
Medica Setting Professional Modifier None (both parts) Typical Low $54.95 Median $93.33 Typical High $398.11 | Professional | None (both parts) | $54.95 | $93.33 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $50.12 Typical High $346.74 | Professional | 26 · Professional part | $33.11 | $50.12 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $34.67 Typical High $165.96 | Professional | TC · Technical part | $21.88 | $34.67 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $66.07 Typical High $131.83 | Professional | None (both parts) | $54.95 | $66.07 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $38.02 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $28.84 Typical High $53.70 | Professional | TC · Technical part | $21.88 | $28.84 | $53.70 |
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 $28.18 Median $32.36 Typical High $36.31 | Professional | 52 · Reduced service | $28.18 | $32.36 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $12.88 Typical High $14.45 | Professional | 53 · Discontinued | $11.22 | $12.88 | $14.45 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $134.90 Median $181.97 Typical High $181.97 | Professional | 22 · Increased work | $134.90 | $181.97 | $181.97 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $22.39 Median $30.20 Typical High $30.20 | Professional | 55 · Aftercare only | $22.39 | $30.20 | $30.20 |
Where North Dakota sits
The same service costs 3.7 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· 2nd of 51
$110
AK $170FL $45.71
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.