How much rates vary
Facilitymedian $204 · 10th to 90th $204 to $339Professionalmedian $437 · 10th to 90th $204 to $724
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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $181.97 | $204.17 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $47.86 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $229.09 | Professional | TC · Technical part | $138.04 | $158.49 | $229.09 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $436.52 Median $562.34 Typical High $660.69 | Professional | None (both parts) | $436.52 | $562.34 | $660.69 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $107.15 Typical High $125.89 | Professional | 26 · Professional part | $83.18 | $107.15 | $125.89 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $457.09 Typical High $537.03 | Professional | TC · Technical part | $346.74 | $457.09 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $190.55 | $371.54 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $75.86 Typical High $134.90 | Professional | 26 · Professional part | $45.71 | $75.86 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $295.12 Typical High $537.03 | Professional | TC · Technical part | $144.54 | $295.12 | $537.03 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $616.60 | Facility | None | $204.17 | $204.17 | $616.60 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $416.87 Typical High $1,479.11 | Professional | None (both parts) | $204.17 | $416.87 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $93.33 Typical High $309.03 | Professional | 26 · Professional part | $47.86 | $93.33 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $323.59 Typical High $1,202.26 | Professional | TC · Technical part | $158.49 | $323.59 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $338.84 Typical High $467.74 | Professional | None (both parts) | $186.21 | $338.84 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $75.86 Typical High $117.49 | Professional | 26 · Professional part | $45.71 | $75.86 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $263.03 Typical High $338.84 | Professional | TC · Technical part | $147.91 | $263.03 | $338.84 |
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 $91.20 Median $102.33 Typical High $123.03 | Professional | 52 · Reduced service | $91.20 | $102.33 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $40.74 Typical High $48.98 | Professional | 53 · Discontinued | $36.31 | $40.74 | $48.98 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $512.86 Median $676.08 Typical High $794.33 | Professional | 22 · Increased work | $512.86 | $676.08 | $794.33 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $112.20 Typical High $131.83 | Professional | 55 · Aftercare only | $87.10 | $112.20 | $131.83 |
Where North Dakota sits
The same service costs 3.0 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· 6th of 51
$417
AK $513FL $174
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.