How much rates vary
Facilitymedian $240 · 10th to 90th $240 to $316Professionalmedian $457 · 10th to 90th $240 to $692
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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $263.03 Typical High $446.68 | Professional | None (both parts) | $213.80 | $263.03 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $91.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $354.81 | Professional | TC · Technical part | $128.82 | $169.82 | $354.81 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $407.38 Median $537.03 Typical High $616.60 | Professional | None (both parts) | $407.38 | $537.03 | $616.60 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $204.17 Typical High $234.42 | Professional | 26 · Professional part | $154.88 | $204.17 | $234.42 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $331.13 Typical High $380.19 | Professional | TC · Technical part | $251.19 | $331.13 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $426.58 Typical High $616.60 | Professional | None (both parts) | $234.42 | $426.58 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $151.36 Typical High $234.42 | Professional | 26 · Professional part | $83.18 | $151.36 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $269.15 Typical High $436.52 | Professional | TC · Technical part | $141.25 | $269.15 | $436.52 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $707.95 | Facility | None | $239.88 | $239.88 | $707.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $478.63 Typical High $1,479.11 | Professional | None (both parts) | $239.88 | $478.63 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $181.97 Typical High $562.34 | Professional | 26 · Professional part | $93.33 | $181.97 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $309.03 Typical High $1,174.90 | Professional | TC · Technical part | $147.91 | $309.03 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $398.11 Typical High $588.84 | Professional | None (both parts) | $239.88 | $398.11 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $141.25 Typical High $194.98 | Professional | 26 · Professional part | $87.10 | $141.25 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $251.19 Typical High $354.81 | Professional | TC · Technical part | $147.91 | $251.19 | $354.81 |
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 $102.33 Median $120.23 Typical High $141.25 | Professional | 52 · Reduced service | $102.33 | $120.23 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $47.86 Typical High $56.23 | Professional | 53 · Discontinued | $41.69 | $47.86 | $56.23 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $489.78 Median $630.96 Typical High $741.31 | Professional | 22 · Increased work | $489.78 | $630.96 | $741.31 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $81.28 Median $107.15 Typical High $123.03 | Professional | 55 · Aftercare only | $81.28 | $107.15 | $123.03 |
Where North Dakota sits
The same service costs 4.7 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· 7th of 51
$447
AK $589UT $126
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.