How much rates vary
Facilitymedian $34 · 10th to 90th $34 to $48Professionalmedian $59 · 10th to 90th $29 to $79
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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.88 Typical High $38.02 | Professional | None (both parts) | $29.51 | $33.88 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $17.38 | Professional | 26 · Professional part | $14.13 | $16.60 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $17.38 Typical High $19.95 | Professional | TC · Technical part | $15.85 | $17.38 | $19.95 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $58.88 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $58.88 | $79.43 | $79.43 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $27.54 | $37.15 | $37.15 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $42.66 | Professional | TC · Technical part | $31.62 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $58.88 Typical High $91.20 | Professional | None (both parts) | $23.44 | $58.88 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $10.96 | $27.54 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $31.62 Typical High $48.98 | Professional | TC · Technical part | $12.59 | $31.62 | $48.98 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $102.33 | Facility | None | $33.88 | $33.88 | $102.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.84 Median $44.67 Typical High $354.81 | Professional | None (both parts) | $28.84 | $44.67 | $354.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $21.38 Typical High $97.72 | Professional | 26 · Professional part | $13.80 | $21.38 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $22.91 Typical High $181.97 | Professional | TC · Technical part | $15.14 | $22.91 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $67.61 | Professional | None (both parts) | $28.84 | $34.67 | $67.61 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $32.36 | Professional | 26 · Professional part | $13.49 | $16.60 | $32.36 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $18.62 Typical High $35.48 | Professional | TC · Technical part | $15.14 | $18.62 | $35.48 |
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 $14.79 Median $16.98 Typical High $18.62 | Professional | 52 · Reduced service | $14.79 | $16.98 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.76 Typical High $7.59 | Professional | 53 · Discontinued | $5.89 | $6.76 | $7.59 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $70.79 Median $95.50 Typical High $95.50 | Professional | 22 · Increased work | $70.79 | $95.50 | $95.50 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.75 Median $15.85 Typical High $15.85 | Professional | 55 · Aftercare only | $11.75 | $15.85 | $15.85 |
Where North Dakota sits
The same service costs 3.4 times more in Alaska than in New York. 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· 3rd of 51
$57.54
AK $87.10NY $25.70
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.