How much rates vary
Facilitymedian $89 · 10th to 90th $35 to $302Professionalmedian $60 · 10th to 90th $35 to $74
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 $35.48 Median $52.48 Typical High $331.13 | Facility | None | $35.48 | $52.48 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $54.95 | Professional | None (both parts) | $30.90 | $35.48 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $14.79 | Professional | 26 · Professional part | $8.13 | $8.51 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $27.54 Typical High $42.66 | Professional | TC · Technical part | $21.88 | $27.54 | $42.66 |
BCBS North Dakota Setting Facility Modifier None Typical Low $79.43 Median $91.20 Typical High $218.78 | Facility | None | $79.43 | $91.20 | $218.78 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $52.48 Median $69.18 Typical High $72.44 | Professional | None (both parts) | $52.48 | $69.18 | $72.44 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.50 Typical High $20.89 | Professional | 26 · Professional part | $14.79 | $19.50 | $20.89 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $50.12 Typical High $52.48 | Professional | TC · Technical part | $38.02 | $50.12 | $52.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $57.54 Typical High $74.13 | Professional | None (both parts) | $40.74 | $57.54 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $16.22 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $16.22 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $40.74 Typical High $53.70 | Professional | TC · Technical part | $29.51 | $40.74 | $53.70 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $107.15 Typical High $158.49 | Facility | None | $35.48 | $107.15 | $158.49 |
Medica Setting Professional Modifier None (both parts) Typical Low $32.36 Median $64.57 Typical High $398.11 | Professional | None (both parts) | $32.36 | $64.57 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $15.85 Typical High $131.83 | Professional | 26 · Professional part | $8.32 | $15.85 | $131.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $50.12 Typical High $134.90 | Professional | TC · Technical part | $24.55 | $50.12 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $48.98 Typical High $72.44 | Professional | None (both parts) | $29.51 | $48.98 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $7.24 | $12.59 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $21.38 | $37.15 | $54.95 |
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 $15.49 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $15.49 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.17 | $7.08 | $7.08 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $63.10 Median $83.18 Typical High $87.10 | Professional | 22 · Increased work | $63.10 | $83.18 | $87.10 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $13.80 Typical High $14.45 | Professional | 55 · Aftercare only | $10.47 | $13.80 | $14.45 |
Where North Dakota sits
The same service costs 2.5 times more in Minnesota than in Texas. 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
$60.26
MN $67.61TX $26.92
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.