How much rates vary
Facilitymedian $209 · 10th to 90th $27 to $692Professionalmedian $51 · 10th to 90th $27 to $76
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 $26.92 Median $181.97 Typical High $691.83 | Facility | None | $26.92 | $181.97 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $29.51 Typical High $56.23 | Professional | None (both parts) | $23.99 | $29.51 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $15.85 | Professional | 26 · Professional part | $6.76 | $7.59 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.38 Typical High $42.66 | Professional | TC · Technical part | $17.38 | $21.38 | $42.66 |
BCBS North Dakota Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $269.15 | Facility | None | $74.13 | $74.13 | $269.15 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $44.67 Median $58.88 Typical High $67.61 | Professional | None (both parts) | $44.67 | $58.88 | $67.61 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.98 Typical High $19.50 | Professional | 26 · Professional part | $12.88 | $16.98 | $19.50 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $47.86 | Professional | TC · Technical part | $31.62 | $41.69 | $47.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $48.98 Typical High $69.18 | Professional | None (both parts) | $25.70 | $48.98 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $12.88 Typical High $18.62 | Professional | 26 · Professional part | $7.59 | $12.88 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $36.31 Typical High $53.70 | Professional | TC · Technical part | $18.20 | $36.31 | $53.70 |
Medica Setting Facility Modifier None Typical Low $26.92 Median $257.04 Typical High $316.23 | Facility | None | $26.92 | $257.04 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $26.92 Median $56.23 Typical High $645.65 | Professional | None (both parts) | $26.92 | $56.23 | $645.65 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $14.79 Typical High $229.09 | Professional | 26 · Professional part | $7.59 | $14.79 | $229.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $39.81 Typical High $537.03 | Professional | TC · Technical part | $19.50 | $39.81 | $537.03 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $45.71 Typical High $63.10 | Professional | None (both parts) | $26.92 | $45.71 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $11.75 Typical High $17.78 | Professional | 26 · Professional part | $7.59 | $11.75 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $33.11 Typical High $46.77 | Professional | TC · Technical part | $19.50 | $33.11 | $46.77 |
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 $11.48 Median $13.49 Typical High $16.22 | Professional | 52 · Reduced service | $11.48 | $13.49 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.37 Typical High $6.46 | Professional | 53 · Discontinued | $4.57 | $5.37 | $6.46 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $53.70 Median $70.79 Typical High $81.28 | Professional | 22 · Increased work | $53.70 | $70.79 | $81.28 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $8.91 Median $11.75 Typical High $13.49 | Professional | 55 · Aftercare only | $8.91 | $11.75 | $13.49 |
Where North Dakota sits
The same service costs 2.7 times more in Minnesota than in Maryland. 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
$52.48
MN $69.18MD $25.70
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.