How much rates vary
Facilitymedian $138 · 10th to 90th $138 to $209Professionalmedian $302 · 10th to 90th $138 to $457
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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $102.33 | $138.04 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $48.98 | Professional | 26 · Professional part | $25.70 | $28.84 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $186.21 | Professional | TC · Technical part | $69.18 | $112.20 | $186.21 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $446.68 | Professional | None (both parts) | $302.00 | $389.05 | $446.68 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $83.18 Typical High $95.50 | Professional | 26 · Professional part | $63.10 | $83.18 | $95.50 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $354.81 | Professional | TC · Technical part | $234.42 | $309.03 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $457.09 | Professional | None (both parts) | $158.49 | $275.42 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $58.88 Typical High $95.50 | Professional | 26 · Professional part | $25.70 | $58.88 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $123.03 | $218.78 | $354.81 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $416.87 | Facility | None | $138.04 | $138.04 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $302.00 Typical High $1,348.96 | Professional | None (both parts) | $165.96 | $302.00 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $51.29 Typical High $371.54 | Professional | 26 · Professional part | $28.18 | $51.29 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $251.19 Typical High $1,096.48 | Professional | TC · Technical part | $138.04 | $251.19 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $275.42 Typical High $398.11 | Professional | None (both parts) | $165.96 | $275.42 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $45.71 Typical High $64.57 | Professional | 26 · Professional part | $26.92 | $45.71 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $229.09 Typical High $331.13 | Professional | TC · Technical part | $138.04 | $229.09 | $331.13 |
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 $61.66 Median $69.18 Typical High $81.28 | Professional | 52 · Reduced service | $61.66 | $69.18 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $27.54 Typical High $32.36 | Professional | 53 · Discontinued | $24.55 | $27.54 | $32.36 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $363.08 Median $467.74 Typical High $537.03 | Professional | 22 · Increased work | $363.08 | $467.74 | $537.03 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $77.62 Typical High $89.13 | Professional | 55 · Aftercare only | $60.26 | $77.62 | $89.13 |
Where North Dakota sits
The same service costs 3.5 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
$302
AK $407UT $117
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.