How much rates vary
Facilitymedian $155 · 10th to 90th $155 to $191Professionalmedian $263 · 10th to 90th $126 to $398
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 $154.88 Median $154.88 Typical High $154.88 | Facility | None | $154.88 | $154.88 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $147.91 Typical High $162.18 | Professional | None (both parts) | $46.77 | $147.91 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $38.90 Typical High $47.86 | Professional | 26 · Professional part | $12.30 | $38.90 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $35.48 | $107.15 | $125.89 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $239.88 | $309.03 | $363.08 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $51.29 | $60.26 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $302.00 | Professional | TC · Technical part | $199.53 | $257.04 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $70.79 | $204.17 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $43.65 Typical High $83.18 | Professional | 26 · Professional part | $15.85 | $43.65 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $151.36 Typical High $309.03 | Professional | TC · Technical part | $52.48 | $151.36 | $309.03 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $467.74 | Facility | None | $154.88 | $154.88 | $467.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $275.42 Typical High $1,000.00 | Professional | None (both parts) | $162.18 | $275.42 | $1,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $95.50 Typical High $281.84 | Professional | 26 · Professional part | $47.86 | $95.50 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $181.97 Typical High $724.44 | Professional | TC · Technical part | $109.65 | $181.97 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $199.53 Typical High $316.23 | Professional | None (both parts) | $112.20 | $199.53 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $72.44 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $72.44 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $245.47 | Professional | TC · Technical part | $95.50 | $138.04 | $245.47 |
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 $63.10 Median $77.62 Typical High $79.43 | Professional | 52 · Reduced service | $63.10 | $77.62 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $30.90 Typical High $31.62 | Professional | 53 · Discontinued | $25.12 | $30.90 | $31.62 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $288.40 Median $371.54 Typical High $436.52 | Professional | 22 · Increased work | $288.40 | $371.54 | $436.52 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $61.66 Typical High $72.44 | Professional | 55 · Aftercare only | $47.86 | $61.66 | $72.44 |
Where North Dakota sits
The same service costs 5.2 times more in Alaska than in Indiana. 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· 5th of 51
$251
AK $363IN $69.18
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.