How much rates vary
Facilitymedian $372 · 10th to 90th $100 to $1,698Professionalmedian $204 · 10th to 90th $100 to $282
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $100.00 Median $575.44 Typical High $8,317.64 | Facility | None | $100.00 | $575.44 | $8,317.64 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $114.82 Typical High $208.93 | Professional | None (both parts) | $91.20 | $114.82 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $53.70 | Professional | 26 · Professional part | $23.44 | $26.30 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $154.88 | Professional | TC · Technical part | $67.61 | $87.10 | $154.88 |
BCBS North Dakota Setting Facility Modifier None Typical Low $213.80 Median $338.84 Typical High $436.52 | Facility | None | $213.80 | $338.84 | $436.52 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $177.83 Median $234.42 Typical High $269.15 | Professional | None (both parts) | $177.83 | $234.42 | $269.15 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $56.23 | $66.07 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $204.17 | Professional | TC · Technical part | $134.90 | $173.78 | $204.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $100.00 | $186.21 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $45.71 Typical High $66.07 | Professional | 26 · Professional part | $25.70 | $45.71 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $141.25 Typical High $204.17 | Professional | TC · Technical part | $74.13 | $141.25 | $204.17 |
Medica Setting Facility Modifier None Typical Low $100.00 Median $169.82 Typical High $1,230.27 | Facility | None | $100.00 | $169.82 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $245.47 Typical High $691.83 | Professional | None (both parts) | $100.00 | $245.47 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $51.29 Typical High $281.84 | Professional | 26 · Professional part | $26.30 | $51.29 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $190.55 Typical High $478.63 | Professional | TC · Technical part | $74.13 | $190.55 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $100.00 | $177.83 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $26.30 | $41.69 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $131.83 Typical High $199.53 | Professional | TC · Technical part | $74.13 | $131.83 | $199.53 |
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 $45.71 Median $50.12 Typical High $57.54 | Professional | 52 · Reduced service | $45.71 | $50.12 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $22.91 | Professional | 53 · Discontinued | $18.20 | $19.95 | $22.91 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $213.80 Median $281.84 Typical High $323.59 | Professional | 22 · Increased work | $213.80 | $281.84 | $323.59 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $46.77 Typical High $53.70 | Professional | 55 · Aftercare only | $35.48 | $46.77 | $53.70 |
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· 6th of 51
$204
MN $275UT $72.44
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.