How much rates vary
Facilitymedian $166 · 10th to 90th $166 to $759Professionalmedian $331 · 10th to 90th $166 to $479
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 $165.96 Median $165.96 Typical High $851.14 | Facility | None | $165.96 | $165.96 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $165.96 Typical High $371.54 | Professional | None (both parts) | $147.91 | $165.96 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $24.55 Typical High $51.29 | Professional | 26 · Professional part | $22.91 | $24.55 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $141.25 Typical High $323.59 | Professional | TC · Technical part | $123.03 | $141.25 | $323.59 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $288.40 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $288.40 | $380.19 | $446.68 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $63.10 | Professional | 26 · Professional part | $41.69 | $54.95 | $63.10 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $323.59 Typical High $380.19 | Professional | TC · Technical part | $251.19 | $323.59 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $162.18 | $288.40 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $24.55 | $41.69 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $251.19 Typical High $380.19 | Professional | TC · Technical part | $134.90 | $251.19 | $380.19 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $229.09 Typical High $407.38 | Facility | None | $165.96 | $229.09 | $407.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $346.74 Typical High $1,445.44 | Professional | None (both parts) | $165.96 | $346.74 | $1,445.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $50.12 Typical High $295.12 | Professional | 26 · Professional part | $25.12 | $50.12 | $295.12 |
Medica Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $295.12 Typical High $1,288.25 | Professional | TC · Technical part | $141.25 | $295.12 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $165.96 | $281.84 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $39.81 Typical High $56.23 | Professional | 26 · Professional part | $25.12 | $39.81 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $323.59 | Professional | TC · Technical part | $141.25 | $239.88 | $323.59 |
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 $72.44 Median $83.18 Typical High $102.33 | Professional | 52 · Reduced service | $72.44 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.11 Typical High $40.74 | Professional | 53 · Discontinued | $28.84 | $33.11 | $40.74 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $346.74 Median $457.09 Typical High $524.81 | Professional | 22 · Increased work | $346.74 | $457.09 | $524.81 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $57.54 Median $75.86 Typical High $89.13 | Professional | 55 · Aftercare only | $57.54 | $75.86 | $89.13 |
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
$324
AK $417UT $126
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.