How much rates vary
Facilitymedian $794 · 10th to 90th $282 to $1,288Professionalmedian $513 · 10th to 90th $275 to $776
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 $281.84 Median $1,096.48 Typical High $1,318.26 | Facility | None | $281.84 | $1,096.48 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $512.86 | Professional | None (both parts) | $245.47 | $281.84 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $53.70 | $81.28 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $165.96 | $223.87 | $407.38 |
BCBS North Dakota Setting Facility Modifier None Typical Low $676.08 Median $741.31 Typical High $977.24 | Facility | None | $676.08 | $741.31 | $977.24 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $457.09 Median $602.56 Typical High $691.83 | Professional | None (both parts) | $457.09 | $602.56 | $691.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $123.03 Typical High $141.25 | Professional | 26 · Professional part | $93.33 | $123.03 | $141.25 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $478.63 Typical High $549.54 | Professional | TC · Technical part | $363.08 | $478.63 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $489.78 Typical High $724.44 | Professional | None (both parts) | $269.15 | $489.78 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $102.33 Typical High $158.49 | Professional | 26 · Professional part | $57.54 | $102.33 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $371.54 Typical High $588.84 | Professional | TC · Technical part | $213.80 | $371.54 | $588.84 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $588.84 Typical High $977.24 | Facility | None | $281.84 | $588.84 | $977.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $575.44 Typical High $2,344.23 | Professional | None (both parts) | $281.84 | $575.44 | $2,344.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $114.82 Typical High $512.86 | Professional | 26 · Professional part | $69.18 | $114.82 | $512.86 |
Medica Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $457.09 Typical High $1,862.09 | Professional | TC · Technical part | $223.87 | $457.09 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $478.63 Typical High $676.08 | Professional | None (both parts) | $281.84 | $478.63 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $102.33 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $102.33 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $380.19 Typical High $537.03 | Professional | TC · Technical part | $223.87 | $380.19 | $537.03 |
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 $120.23 Median $141.25 Typical High $151.36 | Professional | 52 · Reduced service | $120.23 | $141.25 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $56.23 Typical High $60.26 | Professional | 53 · Discontinued | $47.86 | $56.23 | $60.26 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $549.54 Median $707.95 Typical High $831.76 | Professional | 22 · Increased work | $549.54 | $707.95 | $831.76 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $91.20 Median $120.23 Typical High $138.04 | Professional | 55 · Aftercare only | $91.20 | $120.23 | $138.04 |
Where North Dakota sits
The same service costs 3.3 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· 6th of 51
$525
MN $676UT $204
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.