How much rates vary
Facilitymedian $129 · 10th to 90th $129 to $219Professionalmedian $245 · 10th to 90th $132 to $355
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 $128.82 Median $128.82 Typical High $138.04 | Facility | None | $128.82 | $128.82 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $275.42 | Professional | None (both parts) | $120.23 | $141.25 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $44.67 | Professional | 26 · Professional part | $20.42 | $24.55 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $117.49 Typical High $239.88 | Professional | TC · Technical part | $95.50 | $117.49 | $239.88 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $331.13 | Professional | None (both parts) | $218.78 | $281.84 | $331.13 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $53.70 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $53.70 | $63.10 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $269.15 | Professional | TC · Technical part | $177.83 | $229.09 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $125.89 | $229.09 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $22.39 | $39.81 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $100.00 | $181.97 | $281.84 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $389.05 | Facility | None | $128.82 | $128.82 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $263.03 Typical High $1,047.13 | Professional | None (both parts) | $131.83 | $263.03 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $48.98 Typical High $302.00 | Professional | 26 · Professional part | $25.70 | $48.98 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $213.80 Typical High $912.01 | Professional | TC · Technical part | $104.71 | $213.80 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $223.87 Typical High $295.12 | Professional | None (both parts) | $131.83 | $223.87 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $39.81 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $39.81 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $177.83 Typical High $239.88 | Professional | TC · Technical part | $104.71 | $177.83 | $239.88 |
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 $57.54 Median $64.57 Typical High $77.62 | Professional | 52 · Reduced service | $57.54 | $64.57 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.70 Typical High $30.90 | Professional | 53 · Discontinued | $22.91 | $25.70 | $30.90 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $263.03 Median $338.84 Typical High $398.11 | Professional | 22 · Increased work | $263.03 | $338.84 | $398.11 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $57.54 Typical High $66.07 | Professional | 55 · Aftercare only | $43.65 | $57.54 | $66.07 |
Where North Dakota sits
The same service costs 3.3 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· 4th of 51
$245
AK $316UT $95.50
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.