How much rates vary
Facilitymedian $275 · 10th to 90th $275 to $468Professionalmedian $525 · 10th to 90th $269 to $776
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 $275.42 Median $275.42 Typical High $295.12 | Facility | None | $275.42 | $275.42 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $467.74 | Professional | None (both parts) | $208.93 | $275.42 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $43.65 | $47.86 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $229.09 Typical High $398.11 | Professional | TC · Technical part | $162.18 | $229.09 | $398.11 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $478.63 Median $616.60 Typical High $707.95 | Professional | None (both parts) | $478.63 | $616.60 | $707.95 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $104.71 | $120.23 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $512.86 Typical High $588.84 | Professional | TC · Technical part | $398.11 | $512.86 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $457.09 Typical High $724.44 | Professional | None (both parts) | $257.04 | $457.09 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $47.86 | $79.43 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $371.54 Typical High $602.56 | Professional | TC · Technical part | $208.93 | $371.54 | $602.56 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $831.76 | Facility | None | $275.42 | $275.42 | $831.76 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $562.34 Typical High $1,905.46 | Professional | None (both parts) | $275.42 | $562.34 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $93.33 Typical High $588.84 | Professional | 26 · Professional part | $48.98 | $93.33 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $467.74 Typical High $1,621.81 | Professional | TC · Technical part | $229.09 | $467.74 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $457.09 Typical High $630.96 | Professional | None (both parts) | $275.42 | $457.09 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $48.98 | $75.86 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $389.05 Typical High $512.86 | Professional | TC · Technical part | $229.09 | $389.05 | $512.86 |
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 $117.49 Median $138.04 Typical High $147.91 | Professional | 52 · Reduced service | $117.49 | $138.04 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $58.88 | Professional | 53 · Discontinued | $46.77 | $54.95 | $58.88 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $575.44 Median $741.31 Typical High $851.14 | Professional | 22 · Increased work | $575.44 | $741.31 | $851.14 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $123.03 Typical High $144.54 | Professional | 55 · Aftercare only | $95.50 | $123.03 | $144.54 |
Where North Dakota sits
The same service costs 3.0 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· 5th of 51
$513
AK $646UT $214
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.