How much rates vary
Facilitymedian $331 · 10th to 90th $331 to $692Professionalmedian $692 · 10th to 90th $339 to $955
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 $331.13 Median $331.13 Typical High $691.83 | Facility | None | $331.13 | $331.13 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $346.74 Typical High $676.08 | Professional | None (both parts) | $331.13 | $346.74 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $112.20 | Professional | 26 · Professional part | $56.23 | $58.88 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $281.84 Typical High $549.54 | Professional | TC · Technical part | $275.42 | $281.84 | $549.54 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $588.84 Median $794.33 Typical High $933.25 | Professional | None (both parts) | $588.84 | $794.33 | $933.25 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $707.95 Median $954.99 Typical High $1,122.02 | Professional | 22 · Increased work | $707.95 | $954.99 | $1,122.02 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $120.23 Typical High $144.54 | Professional | 26 · Professional part | $93.33 | $120.23 | $144.54 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $117.49 Median $158.49 Typical High $186.21 | Professional | 55 · Aftercare only | $117.49 | $158.49 | $186.21 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $676.08 Typical High $794.33 | Professional | TC · Technical part | $489.78 | $676.08 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $776.25 Typical High $977.24 | Professional | None (both parts) | $346.74 | $776.25 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $117.49 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $117.49 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $645.65 Typical High $831.76 | Professional | TC · Technical part | $281.84 | $645.65 | $831.76 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $501.19 Typical High $660.69 | Facility | None | $331.13 | $501.19 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $616.60 Typical High $2,238.72 | Professional | None (both parts) | $338.84 | $616.60 | $2,238.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $112.20 Typical High $776.25 | Professional | 26 · Professional part | $58.88 | $112.20 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $501.19 Typical High $1,862.09 | Professional | TC · Technical part | $275.42 | $501.19 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $588.84 Typical High $758.58 | Professional | None (both parts) | $338.84 | $588.84 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $104.71 Typical High $134.90 | Professional | 26 · Professional part | $58.88 | $104.71 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $489.78 Typical High $616.60 | Professional | TC · Technical part | $275.42 | $489.78 | $616.60 |
2 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 $165.96 Median $165.96 Typical High $199.53 | Professional | 52 · Reduced service | $165.96 | $165.96 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $66.07 Typical High $79.43 | Professional | 53 · Discontinued | $66.07 | $66.07 | $79.43 |
Where North Dakota sits
The same service costs 3.2 times more in Alaska than in New Mexico. 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· 6th of 51
$676
AK $776NM $240
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.