How much rates vary
Facilitymedian $166 · 10th to 90th $162 to $912Professionalmedian $302 · 10th to 90th $151 to $427
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 $162.18 Median $162.18 Typical High $1,548.82 | Facility | None | $162.18 | $162.18 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $213.80 | Professional | None (both parts) | $138.04 | $162.18 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $53.70 | Professional | 26 · Professional part | $33.88 | $37.15 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $125.89 Typical High $162.18 | Professional | TC · Technical part | $102.33 | $125.89 | $162.18 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $269.15 Median $354.81 Typical High $407.38 | Professional | None (both parts) | $269.15 | $354.81 | $407.38 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $79.43 | $93.33 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $275.42 Typical High $316.23 | Professional | TC · Technical part | $208.93 | $275.42 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $147.91 | $288.40 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $64.57 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $223.87 Typical High $331.13 | Professional | TC · Technical part | $107.15 | $223.87 | $331.13 |
Medica Setting Facility Modifier None Typical Low $162.18 Median $218.78 Typical High $724.44 | Facility | None | $162.18 | $218.78 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $316.23 Typical High $1,023.29 | Professional | None (both parts) | $162.18 | $316.23 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $74.13 Typical High $281.84 | Professional | 26 · Professional part | $37.15 | $74.13 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $239.88 Typical High $794.33 | Professional | TC · Technical part | $125.89 | $239.88 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $251.19 Typical High $363.08 | Professional | None (both parts) | $162.18 | $251.19 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $37.15 | $58.88 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $199.53 Typical High $275.42 | Professional | TC · Technical part | $125.89 | $199.53 | $275.42 |
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 $69.18 Median $81.28 Typical High $87.10 | Professional | 52 · Reduced service | $69.18 | $81.28 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $32.36 Typical High $34.67 | Professional | 53 · Discontinued | $28.18 | $32.36 | $34.67 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $323.59 Median $426.58 Typical High $489.78 | Professional | 22 · Increased work | $323.59 | $426.58 | $489.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $70.79 Typical High $81.28 | Professional | 55 · Aftercare only | $53.70 | $70.79 | $81.28 |
Where North Dakota sits
The same service costs 3.0 times more in Alaska 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· 8th of 51
$295
AK $380UT $129
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.