How much rates vary
Facilitymedian $105 · 10th to 90th $105 to $229Professionalmedian $245 · 10th to 90th $105 to $447
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 $104.71 Median $104.71 Typical High $181.97 | Facility | None | $104.71 | $104.71 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $371.54 | Professional | None (both parts) | $104.71 | $138.04 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $43.65 Typical High $109.65 | Professional | 26 · Professional part | $39.81 | $43.65 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $93.33 Typical High $257.04 | Professional | TC · Technical part | $61.66 | $93.33 | $257.04 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $436.52 | Professional | None (both parts) | $288.40 | $371.54 | $436.52 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $112.20 | Professional | 26 · Professional part | $74.13 | $95.50 | $112.20 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $275.42 Typical High $323.59 | Professional | TC · Technical part | $213.80 | $275.42 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $218.78 Typical High $446.68 | Professional | None (both parts) | $112.20 | $218.78 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $70.79 Typical High $120.23 | Professional | 26 · Professional part | $42.66 | $70.79 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $144.54 Typical High $331.13 | Professional | TC · Technical part | $63.10 | $144.54 | $331.13 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $316.23 | Facility | None | $104.71 | $104.71 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $104.71 Median $194.98 Typical High $831.76 | Professional | None (both parts) | $104.71 | $194.98 | $831.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $87.10 Typical High $263.03 | Professional | 26 · Professional part | $43.65 | $87.10 | $263.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $112.20 Typical High $602.56 | Professional | TC · Technical part | $61.66 | $112.20 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $97.72 | $154.88 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $66.07 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $77.62 Typical High $147.91 | Professional | TC · Technical part | $54.95 | $77.62 | $147.91 |
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 $52.48 Median $54.95 Typical High $79.43 | Professional | 52 · Reduced service | $52.48 | $54.95 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $31.62 | Professional | 53 · Discontinued | $20.89 | $21.88 | $31.62 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $338.84 Median $446.68 Typical High $524.81 | Professional | 22 · Increased work | $338.84 | $446.68 | $524.81 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $74.13 Typical High $87.10 | Professional | 55 · Aftercare only | $57.54 | $74.13 | $87.10 |
Where North Dakota sits
The same service costs 3.2 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· 6th of 51
$234
AK $347NY $107
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.