How much rates vary
Facilitymedian $110 · 10th to 90th $110 to $162Professionalmedian $240 · 10th to 90th $112 to $309
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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $109.65 | $109.65 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $60.26 | Professional | 26 · Professional part | $57.54 | $57.54 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | 53 · Discontinued | $21.88 | $21.88 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $67.61 | Professional | TC · Technical part | $52.48 | $52.48 | $67.61 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $288.40 | Professional | None (both parts) | $204.17 | $269.15 | $288.40 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $125.89 Typical High $138.04 | Professional | 26 · Professional part | $95.50 | $125.89 | $138.04 |
BCBS North Dakota Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $134.90 Typical High $144.54 | Professional | 53 · Discontinued | $100.00 | $134.90 | $144.54 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $144.54 Typical High $151.36 | Professional | TC · Technical part | $107.15 | $144.54 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $316.23 | Professional | None (both parts) | $173.78 | $251.19 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $117.49 Typical High $147.91 | Professional | 26 · Professional part | $83.18 | $117.49 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $131.83 Typical High $165.96 | Professional | TC · Technical part | $93.33 | $131.83 | $165.96 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $331.13 | Facility | None | $109.65 | $109.65 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $223.87 Typical High $851.14 | Professional | None (both parts) | $112.20 | $223.87 | $851.14 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $114.82 Typical High $562.34 | Professional | 26 · Professional part | $58.88 | $114.82 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $109.65 Typical High $562.34 | Professional | TC · Technical part | $52.48 | $109.65 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $199.53 Typical High $234.42 | Professional | None (both parts) | $112.20 | $199.53 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $102.33 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $102.33 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $93.33 Typical High $109.65 | Professional | TC · Technical part | $52.48 | $93.33 | $109.65 |
3 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 $54.95 Median $54.95 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $54.95 | $63.10 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $239.88 Median $323.59 Typical High $346.74 | Professional | 22 · Increased work | $239.88 | $323.59 | $346.74 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $40.74 Median $53.70 Typical High $57.54 | Professional | 55 · Aftercare only | $40.74 | $53.70 | $57.54 |
Where North Dakota sits
The same service costs 3.8 times more in Minnesota than in Utah. 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
$229
MN $269UT $70.79
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.