How much rates vary
Facilitymedian $48 · 10th to 90th $48 to $68Professionalmedian $83 · 10th to 90th $42 to $112
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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $47.86 Typical High $52.48 | Professional | None (both parts) | $41.69 | $47.86 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.88 Typical High $22.91 | Professional | 26 · Professional part | $18.62 | $21.88 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.30 Typical High $30.20 | Professional | TC · Technical part | $23.44 | $26.30 | $30.20 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $83.18 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $83.18 | $112.20 | $112.20 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $47.86 | Professional | 26 · Professional part | $35.48 | $47.86 | $47.86 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $63.10 Typical High $63.10 | Professional | TC · Technical part | $47.86 | $63.10 | $63.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $85.11 Typical High $131.83 | Professional | None (both parts) | $33.11 | $85.11 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $14.45 | $36.31 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $47.86 Typical High $74.13 | Professional | TC · Technical part | $19.05 | $47.86 | $74.13 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $144.54 | Facility | None | $47.86 | $47.86 | $144.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $40.74 Median $63.10 Typical High $338.84 | Professional | None (both parts) | $40.74 | $63.10 | $338.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $28.84 Typical High $128.82 | Professional | 26 · Professional part | $18.62 | $28.84 | $128.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $34.67 Typical High $223.87 | Professional | TC · Technical part | $22.39 | $34.67 | $223.87 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $97.72 | Professional | None (both parts) | $40.74 | $48.98 | $97.72 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $44.67 | Professional | 26 · Professional part | $18.20 | $21.38 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.18 Typical High $53.70 | Professional | TC · Technical part | $22.39 | $28.18 | $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 $20.89 Median $23.99 Typical High $26.30 | Professional | 52 · Reduced service | $20.89 | $23.99 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.55 Typical High $10.47 | Professional | 53 · Discontinued | $8.32 | $9.55 | $10.47 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $100.00 Median $134.90 Typical High $134.90 | Professional | 22 · Increased work | $100.00 | $134.90 | $134.90 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $22.39 Typical High $22.39 | Professional | 55 · Aftercare only | $16.60 | $22.39 | $22.39 |
Where North Dakota sits
The same service costs 3.4 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· 2nd of 51
$83.18
AK $123UT $36.31
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.