How much rates vary
Facilitymedian $646 · 10th to 90th $200 to $1,380Professionalmedian $363 · 10th to 90th $200 to $525
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 $199.53 Median $977.24 Typical High $1,445.44 | Facility | None | $199.53 | $977.24 | $1,445.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $177.83 | $204.17 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $35.48 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $323.59 | Professional | TC · Technical part | $147.91 | $169.82 | $323.59 |
BCBS North Dakota Setting Facility Modifier None Typical Low $501.19 Median $588.84 Typical High $870.96 | Facility | None | $501.19 | $588.84 | $870.96 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $489.78 | Professional | None (both parts) | $323.59 | $426.58 | $489.78 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $74.13 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $74.13 | $85.11 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $346.74 Typical High $407.38 | Professional | TC · Technical part | $269.15 | $346.74 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $346.74 Typical High $512.86 | Professional | None (both parts) | $190.55 | $346.74 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $33.88 | $56.23 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $154.88 | $281.84 | $426.58 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $562.34 Typical High $870.96 | Facility | None | $199.53 | $562.34 | $870.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $398.11 Typical High $1,584.89 | Professional | None (both parts) | $199.53 | $398.11 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $69.18 Typical High $891.25 | Professional | 26 · Professional part | $35.48 | $69.18 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $331.13 Typical High $1,380.38 | Professional | TC · Technical part | $162.18 | $331.13 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $446.68 | Professional | None (both parts) | $199.53 | $338.84 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $54.95 Typical High $79.43 | Professional | 26 · Professional part | $35.48 | $54.95 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $275.42 Typical High $371.54 | Professional | TC · Technical part | $162.18 | $275.42 | $371.54 |
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 $85.11 Median $97.72 Typical High $107.15 | Professional | 52 · Reduced service | $85.11 | $97.72 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $39.81 Typical High $42.66 | Professional | 53 · Discontinued | $33.88 | $39.81 | $42.66 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $389.05 Median $512.86 Typical High $588.84 | Professional | 22 · Increased work | $389.05 | $512.86 | $588.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $85.11 Typical High $97.72 | Professional | 55 · Aftercare only | $64.57 | $85.11 | $97.72 |
Where North Dakota sits
The same service costs 3.5 times more in Minnesota 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
$372
MN $550UT $158
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.