How much rates vary
Facilitymedian $174 · 10th to 90th $174 to $295Professionalmedian $661 · 10th to 90th $191 to $977
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 $173.78 Median $173.78 Typical High $190.55 | Facility | None | $173.78 | $173.78 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $173.78 Typical High $416.87 | Professional | None (both parts) | $154.88 | $173.78 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $53.70 | $60.26 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $309.03 | Professional | TC · Technical part | $100.00 | $112.20 | $309.03 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $645.65 Median $831.76 Typical High $954.99 | Professional | None (both parts) | $645.65 | $831.76 | $954.99 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $138.04 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $138.04 | $158.49 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $691.83 Typical High $794.33 | Professional | TC · Technical part | $537.03 | $691.83 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $549.54 Typical High $933.25 | Professional | None (both parts) | $309.03 | $549.54 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $57.54 | $100.00 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $478.63 Typical High $776.25 | Professional | TC · Technical part | $234.42 | $478.63 | $776.25 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $512.86 | Facility | None | $173.78 | $173.78 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $707.95 Typical High $1,737.80 | Professional | None (both parts) | $363.08 | $707.95 | $1,737.80 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $120.23 Typical High $371.54 | Professional | 26 · Professional part | $61.66 | $120.23 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $575.44 Typical High $1,412.54 | Professional | TC · Technical part | $302.00 | $575.44 | $1,412.54 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $602.56 Typical High $794.33 | Professional | None (both parts) | $363.08 | $602.56 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $61.66 | $95.50 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $467.74 Typical High $660.69 | Professional | TC · Technical part | $302.00 | $467.74 | $660.69 |
2 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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $776.25 Median $1,000.00 Typical High $1,148.15 | Professional | 22 · Increased work | $776.25 | $1,000.00 | $1,148.15 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $128.82 Median $169.82 Typical High $190.55 | Professional | 55 · Aftercare only | $128.82 | $169.82 | $190.55 |
Where North Dakota sits
The same service costs 9.1 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
$646
AK $871UT $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.