How much rates vary
Facilitymedian $200 · 10th to 90th $60 to $550Professionalmedian $87 · 10th to 90th $60 to $123
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 $60.26 Median $407.38 Typical High $630.96 | Facility | None | $60.26 | $407.38 | $630.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $60.26 Typical High $95.50 | Professional | None (both parts) | $44.67 | $60.26 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $13.18 Typical High $22.39 | Professional | 26 · Professional part | $10.96 | $13.18 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $46.77 Typical High $72.44 | Professional | TC · Technical part | $33.11 | $46.77 | $72.44 |
BCBS North Dakota Setting Facility Modifier None Typical Low $125.89 Median $154.88 Typical High $295.12 | Facility | None | $125.89 | $154.88 | $295.12 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $104.71 | Professional | None (both parts) | $75.86 | $102.33 | $104.71 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $24.55 Typical High $25.70 | Professional | 26 · Professional part | $18.20 | $24.55 | $25.70 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $77.62 Typical High $81.28 | Professional | TC · Technical part | $57.54 | $77.62 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $83.18 Typical High $107.15 | Professional | None (both parts) | $58.88 | $83.18 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $20.42 Typical High $26.92 | Professional | 26 · Professional part | $15.14 | $20.42 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $61.66 Typical High $81.28 | Professional | TC · Technical part | $44.67 | $61.66 | $81.28 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $181.97 Typical High $218.78 | Facility | None | $60.26 | $181.97 | $218.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $56.23 Median $109.65 Typical High $630.96 | Professional | None (both parts) | $56.23 | $109.65 | $630.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $23.44 Typical High $223.87 | Professional | 26 · Professional part | $13.49 | $23.44 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $87.10 Typical High $257.04 | Professional | TC · Technical part | $40.74 | $87.10 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $46.77 Median $81.28 Typical High $123.03 | Professional | None (both parts) | $46.77 | $81.28 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $17.38 Typical High $26.30 | Professional | 26 · Professional part | $11.22 | $17.38 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $63.10 Typical High $95.50 | Professional | TC · Technical part | $33.88 | $63.10 | $95.50 |
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 $21.88 Median $30.20 Typical High $30.20 | Professional | 52 · Reduced service | $21.88 | $30.20 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $12.02 Typical High $12.02 | Professional | 53 · Discontinued | $8.91 | $12.02 | $12.02 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $91.20 Median $123.03 Typical High $125.89 | Professional | 22 · Increased work | $91.20 | $123.03 | $125.89 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $15.14 Median $20.42 Typical High $20.89 | Professional | 55 · Aftercare only | $15.14 | $20.42 | $20.89 |
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· 4th of 51
$93.33
MN $105UT $31.62
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.