How much rates vary
Facilitymedian $417 · 10th to 90th $417 to $891Professionalmedian $871 · 10th to 90th $417 to $1,175
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 $416.87 Median $416.87 Typical High $891.25 | Facility | None | $416.87 | $416.87 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $416.87 Typical High $831.76 | Professional | None (both parts) | $389.05 | $416.87 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $154.88 | Professional | 26 · Professional part | $85.11 | $89.13 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $323.59 Typical High $676.08 | Professional | TC · Technical part | $295.12 | $323.59 | $676.08 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,000.00 Typical High $1,174.90 | Professional | None (both parts) | $758.58 | $1,000.00 | $1,174.90 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $891.25 Median $1,202.26 Typical High $1,412.54 | Professional | 22 · Increased work | $891.25 | $1,202.26 | $1,412.54 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $181.97 Typical High $218.78 | Professional | 26 · Professional part | $141.25 | $181.97 | $218.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $199.53 Typical High $234.42 | Professional | 55 · Aftercare only | $151.36 | $199.53 | $234.42 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $812.83 Typical High $954.99 | Professional | TC · Technical part | $602.56 | $812.83 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $977.24 Typical High $1,258.93 | Professional | None (both parts) | $398.11 | $977.24 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $181.97 Typical High $229.09 | Professional | 26 · Professional part | $104.71 | $181.97 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $776.25 Typical High $1,023.29 | Professional | TC · Technical part | $316.23 | $776.25 | $1,023.29 |
Medica Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $1,230.27 | Facility | None | $416.87 | $416.87 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $416.87 Median $776.25 Typical High $2,754.23 | Professional | None (both parts) | $416.87 | $776.25 | $2,754.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $169.82 Typical High $776.25 | Professional | 26 · Professional part | $89.13 | $169.82 | $776.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $602.56 Typical High $2,187.76 | Professional | TC · Technical part | $323.59 | $602.56 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $741.31 Typical High $954.99 | Professional | None (both parts) | $416.87 | $741.31 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $158.49 Typical High $204.17 | Professional | 26 · Professional part | $89.13 | $158.49 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $588.84 Typical High $741.31 | Professional | TC · Technical part | $323.59 | $588.84 | $741.31 |
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 $208.93 Median $208.93 Typical High $251.19 | Professional | 52 · Reduced service | $208.93 | $208.93 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $102.33 | Professional | 53 · Discontinued | $83.18 | $83.18 | $102.33 |
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
$851
AK $977NM $302
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.