How much rates vary
Facilitymedian $91 · 10th to 90th $91 to $129Professionalmedian $186 · 10th to 90th $91 to $251
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 $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | None (both parts) | $91.20 | $91.20 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $38.02 | Professional | 26 · Professional part | $31.62 | $33.88 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $58.88 | $72.44 |
BCBS North Dakota Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $162.18 Median $218.78 Typical High $229.09 | Professional | None (both parts) | $162.18 | $218.78 | $229.09 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $79.43 | Professional | 26 · Professional part | $54.95 | $74.13 | $79.43 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $144.54 Typical High $151.36 | Professional | TC · Technical part | $109.65 | $144.54 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $131.83 | $177.83 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $45.71 | $64.57 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $85.11 | $114.82 | $162.18 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $275.42 | Facility | None | $91.20 | $91.20 | $275.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $173.78 Typical High $562.34 | Professional | None (both parts) | $91.20 | $173.78 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $61.66 Typical High $199.53 | Professional | 26 · Professional part | $32.36 | $61.66 | $199.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $112.20 Typical High $363.08 | Professional | TC · Technical part | $58.88 | $112.20 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $87.10 | $138.04 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $47.86 Typical High $67.61 | Professional | 26 · Professional part | $28.84 | $47.86 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $54.95 | $89.13 | $125.89 |
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 $45.71 Median $45.71 Typical High $50.12 | Professional | 52 · Reduced service | $45.71 | $45.71 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $20.42 | Professional | 53 · Discontinued | $18.62 | $18.62 | $20.42 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $194.98 Median $263.03 Typical High $275.42 | Professional | 22 · Increased work | $194.98 | $263.03 | $275.42 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $43.65 Typical High $45.71 | Professional | 55 · Aftercare only | $33.11 | $43.65 | $45.71 |
Where North Dakota sits
The same service costs 2.8 times more in Alaska 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· 2nd of 51
$186
AK $186TX $67.61
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.