How much rates vary
Facilitymedian $288 · 10th to 90th $288 to $398Professionalmedian $575 · 10th to 90th $288 to $741
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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $309.03 | Professional | None (both parts) | $288.40 | $288.40 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $257.04 | Professional | 26 · Professional part | $245.47 | $245.47 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $53.70 | Professional | TC · Technical part | $38.90 | $38.90 | $53.70 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $489.78 Median $645.65 Typical High $707.95 | Professional | None (both parts) | $489.78 | $645.65 | $707.95 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $537.03 Typical High $588.84 | Professional | 26 · Professional part | $407.38 | $537.03 | $588.84 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $109.65 Typical High $117.49 | Professional | TC · Technical part | $81.28 | $109.65 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $616.60 Typical High $758.58 | Professional | None (both parts) | $426.58 | $616.60 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $512.86 Typical High $630.96 | Professional | 26 · Professional part | $354.81 | $512.86 | $630.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $72.44 | $100.00 | $131.83 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $870.96 | Facility | None | $288.40 | $288.40 | $870.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $288.40 Median $549.54 Typical High $3,548.13 | Professional | None (both parts) | $288.40 | $549.54 | $3,548.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $489.78 Typical High $1,479.11 | Professional | 26 · Professional part | $251.19 | $489.78 | $1,479.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $56.23 Typical High $2,137.96 | Professional | TC · Technical part | $38.90 | $56.23 | $2,137.96 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $489.78 Typical High $602.56 | Professional | None (both parts) | $288.40 | $489.78 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $251.19 Median $436.52 Typical High $524.81 | Professional | 26 · Professional part | $251.19 | $436.52 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $56.23 Typical High $83.18 | Professional | TC · Technical part | $35.48 | $56.23 | $83.18 |
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 $144.54 Median $144.54 Typical High $154.88 | Professional | 52 · Reduced service | $144.54 | $144.54 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | 53 · Discontinued | $57.54 | $57.54 | $61.66 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $588.84 Median $776.25 Typical High $851.14 | Professional | 22 · Increased work | $588.84 | $776.25 | $851.14 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $128.82 Typical High $141.25 | Professional | 55 · Aftercare only | $97.72 | $128.82 | $141.25 |
Where North Dakota sits
The same service costs 3.3 times more in Minnesota 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· 5th of 51
$562
MN $661UT $200
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.