How much rates vary
Facilitymedian $282 · 10th to 90th $170 to $479Professionalmedian $245 · 10th to 90th $195 to $617
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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $295.12 | Professional | None (both parts) | $281.84 | $281.84 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $112.20 | $114.82 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $213.80 | Professional | TC · Technical part | $169.82 | $169.82 | $213.80 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $251.19 | Professional | None (both parts) | $181.97 | $239.88 | $251.19 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $104.71 Typical High $112.20 | Professional | 26 · Professional part | $79.43 | $104.71 | $112.20 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $141.25 | Professional | TC · Technical part | $102.33 | $138.04 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $346.74 | Professional | None (both parts) | $169.82 | $245.47 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $141.25 | Professional | 26 · Professional part | $67.61 | $97.72 | $141.25 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $512.86 | Facility | None | $169.82 | $281.84 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $288.40 Median $562.34 Typical High $1,862.09 | Professional | None (both parts) | $288.40 | $562.34 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $213.80 Typical High $741.31 | Professional | 26 · Professional part | $114.82 | $213.80 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $346.74 Typical High $1,122.02 | Professional | TC · Technical part | $173.78 | $346.74 | $1,122.02 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $467.74 Typical High $616.60 | Professional | None (both parts) | $263.03 | $467.74 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $177.83 Typical High $263.03 | Professional | 26 · Professional part | $112.20 | $177.83 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $275.42 Typical High $389.05 | Professional | TC · Technical part | $169.82 | $275.42 | $389.05 |
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 $141.25 Median $141.25 Typical High $147.91 | Professional | 52 · Reduced service | $141.25 | $141.25 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $60.26 | Professional | 53 · Discontinued | $56.23 | $56.23 | $60.26 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $218.78 Median $288.40 Typical High $302.00 | Professional | 22 · Increased work | $218.78 | $288.40 | $302.00 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $47.86 Typical High $50.12 | Professional | 55 · Aftercare only | $36.31 | $47.86 | $50.12 |
Where North Dakota sits
The same service costs 9.8 times more in Alaska than in New York. 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· 44th of 51
$251
AK $631NY $64.57
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.