How much rates vary
Facilitymedian $123 · 10th to 90th $123 to $170Professionalmedian $240 · 10th to 90th $126 to $372
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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $281.84 | Professional | None (both parts) | $109.65 | $154.88 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $138.04 | Professional | 26 · Professional part | $57.54 | $63.10 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $177.83 | Professional | TC · Technical part | $53.70 | $74.13 | $177.83 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $213.80 Median $275.42 Typical High $323.59 | Professional | None (both parts) | $213.80 | $275.42 | $323.59 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $138.04 Typical High $158.49 | Professional | 26 · Professional part | $104.71 | $138.04 | $158.49 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $162.18 | Professional | TC · Technical part | $107.15 | $141.25 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $223.87 Typical High $323.59 | Professional | None (both parts) | $120.23 | $223.87 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $61.66 | $107.15 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $57.54 | $114.82 | $186.21 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $371.54 | Facility | None | $123.03 | $123.03 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $257.04 Typical High $1,071.52 | Professional | None (both parts) | $125.89 | $257.04 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $123.03 Typical High $371.54 | Professional | 26 · Professional part | $63.10 | $123.03 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $125.89 Typical High $707.95 | Professional | TC · Technical part | $61.66 | $125.89 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $275.42 | Professional | None (both parts) | $125.89 | $213.80 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $100.00 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $100.00 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $109.65 Typical High $147.91 | Professional | TC · Technical part | $61.66 | $109.65 | $147.91 |
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 $54.95 Median $61.66 Typical High $85.11 | Professional | 52 · Reduced service | $54.95 | $61.66 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $24.55 Typical High $33.88 | Professional | 53 · Discontinued | $21.88 | $24.55 | $33.88 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $257.04 Median $331.13 Typical High $389.05 | Professional | 22 · Increased work | $257.04 | $331.13 | $389.05 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $42.66 Median $54.95 Typical High $64.57 | Professional | 55 · Aftercare only | $42.66 | $54.95 | $64.57 |
Where North Dakota sits
The same service costs 4.6 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· 7th of 51
$240
AK $316UT $69.18
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.