How much rates vary
Facilitymedian $191 · 10th to 90th $191 to $1,585Professionalmedian $372 · 10th to 90th $195 to $537
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 $190.55 Median $190.55 Typical High $1,778.28 | Facility | None | $190.55 | $190.55 | $1,778.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $173.78 | $213.80 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $72.44 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $257.04 | Professional | TC · Technical part | $109.65 | $138.04 | $257.04 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $323.59 | $426.58 | $501.19 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $181.97 | Professional | 26 · Professional part | $117.49 | $154.88 | $181.97 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $269.15 Typical High $316.23 | Professional | TC · Technical part | $208.93 | $269.15 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $186.21 | $354.81 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $125.89 Typical High $186.21 | Professional | 26 · Professional part | $70.79 | $125.89 | $186.21 |
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 $190.55 Median $190.55 Typical High $575.44 | Facility | None | $190.55 | $190.55 | $575.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $467.74 Typical High $1,659.59 | Professional | None (both parts) | $194.98 | $467.74 | $1,659.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $144.54 Typical High $724.44 | Professional | 26 · Professional part | $72.44 | $144.54 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $331.13 Typical High $977.24 | Professional | TC · Technical part | $120.23 | $331.13 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $194.98 | $338.84 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $114.82 Typical High $173.78 | Professional | 26 · Professional part | $72.44 | $114.82 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $223.87 Typical High $338.84 | Professional | TC · Technical part | $120.23 | $223.87 | $338.84 |
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 $85.11 Median $95.50 Typical High $114.82 | Professional | 52 · Reduced service | $85.11 | $95.50 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $38.02 Typical High $45.71 | Professional | 53 · Discontinued | $33.88 | $38.02 | $45.71 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $389.05 Median $512.86 Typical High $588.84 | Professional | 22 · Increased work | $389.05 | $512.86 | $588.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $85.11 Typical High $100.00 | Professional | 55 · Aftercare only | $64.57 | $85.11 | $100.00 |
Where North Dakota sits
The same service costs 3.9 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· 6th of 51
$372
AK $468UT $120
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.