How much rates vary
Facilitymedian $148 · 10th to 90th $85 to $617Professionalmedian $166 · 10th to 90th $87 to $251
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $85.11 Median $147.91 Typical High $630.96 | Facility | None | $85.11 | $147.91 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $104.71 Typical High $194.98 | Professional | None (both parts) | $81.28 | $104.71 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.59 Typical High $26.30 | Professional | 26 · Professional part | $11.48 | $12.59 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $93.33 Typical High $165.96 | Professional | TC · Technical part | $69.18 | $93.33 | $165.96 |
BCBS North Dakota Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $245.47 | Facility | None | $234.42 | $234.42 | $245.47 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $147.91 | $190.55 | $223.87 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $31.62 | Professional | 26 · Professional part | $20.42 | $26.92 | $31.62 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $165.96 Typical High $190.55 | Professional | TC · Technical part | $125.89 | $165.96 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $83.18 | $151.36 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $20.42 Typical High $30.20 | Professional | 26 · Professional part | $12.30 | $20.42 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $199.53 | Professional | TC · Technical part | $70.79 | $128.82 | $199.53 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $117.49 Typical High $288.40 | Facility | None | $85.11 | $117.49 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $87.10 Median $177.83 Typical High $776.25 | Professional | None (both parts) | $87.10 | $177.83 | $776.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $25.12 Typical High $269.15 | Professional | 26 · Professional part | $12.88 | $25.12 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $154.88 Typical High $691.83 | Professional | TC · Technical part | $74.13 | $154.88 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $194.98 | Professional | None (both parts) | $87.10 | $147.91 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $19.95 Typical High $28.18 | Professional | 26 · Professional part | $12.88 | $19.95 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $125.89 Typical High $165.96 | Professional | TC · Technical part | $74.13 | $125.89 | $165.96 |
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 $37.15 Median $42.66 Typical High $56.23 | Professional | 52 · Reduced service | $37.15 | $42.66 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $16.98 Typical High $22.39 | Professional | 53 · Discontinued | $14.79 | $16.98 | $22.39 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $173.78 Median $229.09 Typical High $269.15 | Professional | 22 · Increased work | $173.78 | $229.09 | $269.15 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $29.51 Median $38.02 Typical High $44.67 | Professional | 55 · Aftercare only | $29.51 | $38.02 | $44.67 |
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
$166
AK $209UT $63.10
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.