How much rates vary
Facilitymedian $372 · 10th to 90th $372 to $1,122Professionalmedian $759 · 10th to 90th $372 to $1,047
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 $371.54 Median $371.54 Typical High $1,122.02 | Facility | None | $371.54 | $371.54 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $371.54 Typical High $741.31 | Professional | None (both parts) | $331.13 | $371.54 | $741.31 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $52.48 | $58.88 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $309.03 Typical High $630.96 | Professional | TC · Technical part | $269.15 | $309.03 | $630.96 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $660.69 Median $851.14 Typical High $1,000.00 | Professional | None (both parts) | $660.69 | $851.14 | $1,000.00 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $776.25 Median $1,023.29 Typical High $1,202.26 | Professional | 22 · Increased work | $776.25 | $1,023.29 | $1,202.26 |
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 $131.83 Median $169.82 Typical High $199.53 | Professional | 55 · Aftercare only | $131.83 | $169.82 | $199.53 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $741.31 Typical High $870.96 | Professional | TC · Technical part | $562.34 | $741.31 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $794.33 Typical High $1,096.48 | Professional | None (both parts) | $346.74 | $794.33 | $1,096.48 |
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 $275.42 Median $660.69 Typical High $933.25 | Professional | TC · Technical part | $275.42 | $660.69 | $933.25 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $562.34 Typical High $851.14 | Facility | None | $371.54 | $562.34 | $851.14 |
Medica Setting Professional Modifier None (both parts) Typical Low $371.54 Median $691.83 Typical High $2,454.71 | Professional | None (both parts) | $371.54 | $691.83 | $2,454.71 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $112.20 Typical High $354.81 | Professional | 26 · Professional part | $58.88 | $112.20 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $575.44 Typical High $2,089.30 | Professional | TC · Technical part | $309.03 | $575.44 | $2,089.30 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $660.69 Typical High $851.14 | Professional | None (both parts) | $371.54 | $660.69 | $851.14 |
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 $309.03 Median $549.54 Typical High $707.95 | Professional | TC · Technical part | $309.03 | $549.54 | $707.95 |
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 $186.21 Median $186.21 Typical High $223.87 | Professional | 52 · Reduced service | $186.21 | $186.21 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | 53 · Discontinued | $74.13 | $74.13 | $89.13 |
Where North Dakota sits
The same service costs 3.0 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· 4th of 51
$724
AK $794NM $269
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.