How much rates vary
Facilitymedian $16 · 10th to 90th $16 to $23Professionalmedian $35 · 10th to 90th $17 to $45
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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $18.20 | Professional | None (both parts) | $16.22 | $16.22 | $18.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.51 Typical High $8.71 | Professional | 26 · Professional part | $8.51 | $8.51 | $8.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.76 Median $7.76 Typical High $9.33 | Professional | TC · Technical part | $7.76 | $7.76 | $9.33 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $30.20 Median $39.81 Typical High $41.69 | Professional | None (both parts) | $30.20 | $39.81 | $41.69 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.50 Typical High $20.42 | Professional | 26 · Professional part | $14.79 | $19.50 | $20.42 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $20.42 Typical High $21.38 | Professional | TC · Technical part | $15.14 | $20.42 | $21.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $35.48 Typical High $44.67 | Professional | None (both parts) | $24.55 | $35.48 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $16.98 Typical High $21.38 | Professional | 26 · Professional part | $12.02 | $16.98 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $18.62 Typical High $22.91 | Professional | TC · Technical part | $12.88 | $18.62 | $22.91 |
Medica Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $48.98 | Facility | None | $16.22 | $16.22 | $48.98 |
Medica Setting Professional Modifier None (both parts) Typical Low $16.60 Median $35.48 Typical High $100.00 | Professional | None (both parts) | $16.60 | $35.48 | $100.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $17.78 Typical High $51.29 | Professional | 26 · Professional part | $8.71 | $17.78 | $51.29 |
Medica Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $17.38 Typical High $48.98 | Professional | TC · Technical part | $7.94 | $17.38 | $48.98 |
United Setting Professional Modifier None (both parts) Typical Low $16.60 Median $30.20 Typical High $35.48 | Professional | None (both parts) | $16.60 | $30.20 | $35.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $15.49 Typical High $17.78 | Professional | 26 · Professional part | $8.71 | $15.49 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $7.94 Median $15.14 Typical High $17.78 | Professional | TC · Technical part | $7.94 | $15.14 | $17.78 |
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 $8.13 Median $8.13 Typical High $9.12 | Professional | 52 · Reduced service | $8.13 | $8.13 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.63 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.63 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $36.31 Median $47.86 Typical High $50.12 | Professional | 22 · Increased work | $36.31 | $47.86 | $50.12 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.03 Median $7.94 Typical High $8.32 | Professional | 55 · Aftercare only | $6.03 | $7.94 | $8.32 |
Where North Dakota sits
The same service costs 2.7 times more in Minnesota 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· 3rd of 51
$35.48
MN $38.02FL $14.13
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.