How much rates vary
Facilitymedian $135 · 10th to 90th $135 to $603Professionalmedian $263 · 10th to 90th $135 to $389
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 $134.90 Median $134.90 Typical High $776.25 | Facility | None | $134.90 | $134.90 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $302.00 | Professional | None (both parts) | $123.03 | $162.18 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $46.77 | Professional | 26 · Professional part | $20.89 | $22.39 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $263.03 | Professional | TC · Technical part | $102.33 | $141.25 | $263.03 |
BCBS North Dakota Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $478.63 | Facility | None | $281.84 | $281.84 | $478.63 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $234.42 Median $309.03 Typical High $354.81 | Professional | None (both parts) | $234.42 | $309.03 | $354.81 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $57.54 | Professional | 26 · Professional part | $38.02 | $48.98 | $57.54 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $302.00 | Professional | TC · Technical part | $199.53 | $257.04 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $234.42 Typical High $363.08 | Professional | None (both parts) | $131.83 | $234.42 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $37.15 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $199.53 Typical High $309.03 | Professional | TC · Technical part | $107.15 | $199.53 | $309.03 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $426.58 | Facility | None | $134.90 | $134.90 | $426.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $275.42 Typical High $1,174.90 | Professional | None (both parts) | $134.90 | $275.42 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $44.67 Typical High $309.03 | Professional | 26 · Professional part | $22.91 | $44.67 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $234.42 Typical High $1,047.13 | Professional | TC · Technical part | $112.20 | $234.42 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $229.09 Typical High $302.00 | Professional | None (both parts) | $134.90 | $229.09 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $22.91 | $35.48 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $190.55 Typical High $251.19 | Professional | TC · Technical part | $112.20 | $190.55 | $251.19 |
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 $58.88 Median $67.61 Typical High $87.10 | Professional | 52 · Reduced service | $58.88 | $67.61 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.92 Typical High $34.67 | Professional | 53 · Discontinued | $23.44 | $26.92 | $34.67 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $281.84 Median $371.54 Typical High $426.58 | Professional | 22 · Increased work | $281.84 | $371.54 | $426.58 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $61.66 Typical High $70.79 | Professional | 55 · Aftercare only | $46.77 | $61.66 | $70.79 |
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· 5th of 51
$263
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.