How much rates vary
Facilitymedian $447 · 10th to 90th $447 to $1,349Professionalmedian $933 · 10th to 90th $398 to $1,202
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 $446.68 Median $446.68 Typical High $8,511.38 | Facility | None | $446.68 | $446.68 | $8,511.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $537.03 | Professional | None (both parts) | $446.68 | $446.68 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | 26 · Professional part | $173.78 | $173.78 | $204.17 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $331.13 | Professional | TC · Technical part | $275.42 | $275.42 | $331.13 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,071.52 Typical High $1,122.02 | Professional | None (both parts) | $794.33 | $1,071.52 | $1,122.02 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $407.38 Typical High $436.52 | Professional | 26 · Professional part | $302.00 | $407.38 | $436.52 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $660.69 Typical High $676.08 | Professional | TC · Technical part | $501.19 | $660.69 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,071.52 Typical High $1,318.26 | Professional | None (both parts) | $741.31 | $1,071.52 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $346.74 Typical High $436.52 | Professional | 26 · Professional part | $245.47 | $346.74 | $436.52 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $707.95 Typical High $891.25 | Professional | TC · Technical part | $501.19 | $707.95 | $891.25 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $446.68 Typical High $1,348.96 | Facility | None | $251.19 | $446.68 | $1,348.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $371.54 Typical High $4,466.84 | Professional | None (both parts) | $316.23 | $371.54 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $354.81 Typical High $2,089.30 | Professional | 26 · Professional part | $186.21 | $354.81 | $2,089.30 |
Medica Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $4,168.69 | Professional | TC · Technical part | $16.98 | $21.88 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $489.78 Typical High $870.96 | Professional | None (both parts) | $316.23 | $489.78 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $309.03 Typical High $371.54 | Professional | 26 · Professional part | $186.21 | $309.03 | $371.54 |
United Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $251.19 Typical High $549.54 | Professional | TC · Technical part | $16.98 | $251.19 | $549.54 |
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 $223.87 Median $223.87 Typical High $234.42 | Professional | 52 · Reduced service | $223.87 | $223.87 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $89.13 Typical High $93.33 | Professional | 53 · Discontinued | $89.13 | $89.13 | $93.33 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $954.99 Median $1,288.25 Typical High $1,348.96 | Professional | 22 · Increased work | $954.99 | $1,288.25 | $1,348.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $162.18 Median $213.80 Typical High $223.87 | Professional | 55 · Aftercare only | $162.18 | $213.80 | $223.87 |
Where North Dakota sits
The same service costs 3.0 times more in Wisconsin than in North Carolina. 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· 2nd of 51
$933
WI $1,000NC $331
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.