How much rates vary
Facilitymedian $135 · 10th to 90th $135 to $617Professionalmedian $288 · 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 $660.69 | Facility | None | $134.90 | $134.90 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $316.23 | Professional | None (both parts) | $117.49 | $134.90 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $23.99 Typical High $35.48 | Professional | 26 · Professional part | $11.75 | $23.99 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $263.03 | Professional | TC · Technical part | $102.33 | $112.20 | $263.03 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $389.05 | Professional | None (both parts) | $251.19 | $338.84 | $389.05 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $60.26 | Professional | 26 · Professional part | $39.81 | $52.48 | $60.26 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $288.40 Typical High $323.59 | Professional | TC · Technical part | $213.80 | $288.40 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $162.18 | $281.84 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $40.74 Typical High $58.88 | Professional | 26 · Professional part | $19.05 | $40.74 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $257.04 Typical High $346.74 | Professional | TC · Technical part | $138.04 | $257.04 | $346.74 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $407.38 | Facility | None | $134.90 | $134.90 | $407.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $281.84 Typical High $1,202.26 | Professional | None (both parts) | $147.91 | $281.84 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $40.74 Typical High $199.53 | Professional | 26 · Professional part | $21.88 | $40.74 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $245.47 Typical High $1,122.02 | Professional | TC · Technical part | $131.83 | $245.47 | $1,122.02 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $331.13 | Professional | None (both parts) | $147.91 | $223.87 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $32.36 Typical High $47.86 | Professional | 26 · Professional part | $15.85 | $32.36 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $190.55 Typical High $281.84 | Professional | TC · Technical part | $120.23 | $190.55 | $281.84 |
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 $67.61 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $67.61 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $30.20 | Professional | 53 · Discontinued | $26.92 | $26.92 | $30.20 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $302.00 Median $407.38 Typical High $467.74 | Professional | 22 · Increased work | $302.00 | $407.38 | $467.74 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $67.61 Typical High $77.62 | Professional | 55 · Aftercare only | $51.29 | $67.61 | $77.62 |
Where North Dakota sits
The same service costs 3.7 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· 3rd of 51
$282
AK $363UT $97.72
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.