How much rates vary
Facilitymedian $87 · 10th to 90th $87 to $126Professionalmedian $155 · 10th to 90th $76 to $209
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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $100.00 | Professional | None (both parts) | $75.86 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $51.29 | Professional | 26 · Professional part | $40.74 | $47.86 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $47.86 | Professional | TC · Technical part | $34.67 | $40.74 | $47.86 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $154.88 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $154.88 | $208.93 | $208.93 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $79.43 | $104.71 | $104.71 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $75.86 | $100.00 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $158.49 Typical High $245.47 | Professional | None (both parts) | $61.66 | $158.49 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $31.62 | $81.28 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $75.86 Typical High $117.49 | Professional | TC · Technical part | $30.20 | $75.86 | $117.49 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $263.03 | Facility | None | $87.10 | $87.10 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $72.44 Median $112.20 Typical High $549.54 | Professional | None (both parts) | $72.44 | $112.20 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $281.84 | Professional | 26 · Professional part | $39.81 | $61.66 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $50.12 Typical High $354.81 | Professional | TC · Technical part | $33.11 | $50.12 | $354.81 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $75.86 | $91.20 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $46.77 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $46.77 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $44.67 Typical High $77.62 | Professional | TC · Technical part | $34.67 | $44.67 | $77.62 |
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 $38.02 Median $43.65 Typical High $48.98 | Professional | 52 · Reduced service | $38.02 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.78 Typical High $19.95 | Professional | 53 · Discontinued | $15.14 | $17.78 | $19.95 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $186.21 Median $245.47 Typical High $245.47 | Professional | 22 · Increased work | $186.21 | $245.47 | $245.47 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $41.69 Typical High $41.69 | Professional | 55 · Aftercare only | $30.90 | $41.69 | $41.69 |
Where North Dakota sits
The same service costs 3.7 times more in Alaska than in New Jersey. 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
$148
AK $229NJ $61.66
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.