How much rates vary
Facilitymedian $112 · 10th to 90th $112 to $191Professionalmedian $229 · 10th to 90th $98 to $316
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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $112.20 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.49 Typical High $16.22 | Professional | 26 · Professional part | $14.13 | $15.49 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $134.90 | Professional | TC · Technical part | $97.72 | $97.72 | $134.90 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $234.42 | $316.23 | $316.23 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $25.70 | $34.67 | $34.67 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $208.93 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $239.88 Typical High $371.54 | Professional | None (both parts) | $95.50 | $239.88 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $25.70 Typical High $39.81 | Professional | 26 · Professional part | $10.23 | $25.70 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $85.11 | $213.80 | $331.13 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $338.84 | Facility | None | $112.20 | $112.20 | $338.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $794.33 | Professional | None (both parts) | $87.10 | $134.90 | $794.33 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $19.50 Typical High $134.90 | Professional | 26 · Professional part | $12.59 | $19.50 | $134.90 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $114.82 Typical High $707.95 | Professional | TC · Technical part | $75.86 | $114.82 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $229.09 | Professional | None (both parts) | $97.72 | $134.90 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.49 Typical High $29.51 | Professional | 26 · Professional part | $12.88 | $15.49 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $83.18 | $120.23 | $204.17 |
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 $56.23 Median $56.23 Typical High $75.86 | Professional | 52 · Reduced service | $56.23 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $30.20 | Professional | 53 · Discontinued | $22.39 | $22.39 | $30.20 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $281.84 Median $380.19 Typical High $380.19 | Professional | 22 · Increased work | $281.84 | $380.19 | $380.19 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $63.10 Typical High $63.10 | Professional | 55 · Aftercare only | $47.86 | $63.10 | $63.10 |
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· 2nd of 51
$214
AK $245FL $81.28
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.