How much rates vary
Facilitymedian $214 · 10th to 90th $25 to $776Professionalmedian $49 · 10th to 90th $25 to $105
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 $25.12 Median $213.80 Typical High $776.25 | Facility | None | $25.12 | $213.80 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $33.11 Typical High $66.07 | Professional | None (both parts) | $21.88 | $33.11 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.47 Typical High $7.24 | Professional | 26 · Professional part | $2.95 | $3.47 | $7.24 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $30.20 Typical High $57.54 | Professional | TC · Technical part | $19.05 | $30.20 | $57.54 |
BCBS North Dakota Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $363.08 | Facility | None | $346.74 | $346.74 | $363.08 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $41.69 Median $54.95 Typical High $63.10 | Professional | None (both parts) | $41.69 | $54.95 | $63.10 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $7.59 Typical High $8.71 | Professional | 26 · Professional part | $5.89 | $7.59 | $8.71 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $46.77 Typical High $54.95 | Professional | TC · Technical part | $35.48 | $46.77 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $47.86 Typical High $79.43 | Professional | None (both parts) | $23.99 | $47.86 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $3.16 Median $5.62 Typical High $8.32 | Professional | 26 · Professional part | $3.16 | $5.62 | $8.32 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $40.74 Typical High $67.61 | Professional | TC · Technical part | $20.42 | $40.74 | $67.61 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $173.78 Typical High $398.11 | Facility | None | $25.12 | $173.78 | $398.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $25.12 Median $51.29 Typical High $724.44 | Professional | None (both parts) | $25.12 | $51.29 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $6.46 Typical High $288.40 | Professional | 26 · Professional part | $3.24 | $6.46 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $45.71 Typical High $660.69 | Professional | TC · Technical part | $21.88 | $45.71 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $25.12 Median $44.67 Typical High $63.10 | Professional | None (both parts) | $25.12 | $44.67 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $3.24 Median $5.37 Typical High $7.94 | Professional | 26 · Professional part | $3.24 | $5.37 | $7.94 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $38.90 Typical High $54.95 | Professional | TC · Technical part | $21.88 | $38.90 | $54.95 |
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 $10.47 Median $12.59 Typical High $19.50 | Professional | 52 · Reduced service | $10.47 | $12.59 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $5.01 Typical High $7.76 | Professional | 53 · Discontinued | $4.17 | $5.01 | $7.76 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $50.12 Median $66.07 Typical High $75.86 | Professional | 22 · Increased work | $50.12 | $66.07 | $75.86 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $8.32 Median $10.96 Typical High $12.59 | Professional | 55 · Aftercare only | $8.32 | $10.96 | $12.59 |
Where North Dakota sits
The same service costs 2.9 times more in Kansas 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· 9th of 51
$48.98
KS $74.13MD $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.