How much rates vary
Facilitymedian $1,905 · 10th to 90th $1,905 to $2,512Professionalmedian $3,890 · 10th to 90th $1,905 to $4,898
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 $1,905.46 Median $1,905.46 Typical High $1,905.46 | Facility | None | $1,905.46 | $1,905.46 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,905.46 Typical High $3,162.28 | Professional | None (both parts) | $1,819.70 | $1,905.46 | $3,162.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $338.84 Typical High $602.56 | Professional | 26 · Professional part | $331.13 | $338.84 | $602.56 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $1,548.82 Typical High $2,570.40 | Professional | TC · Technical part | $1,479.11 | $1,548.82 | $2,570.40 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $3,019.95 Median $4,073.80 Typical High $4,786.30 | Professional | None (both parts) | $3,019.95 | $4,073.80 | $4,786.30 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $3,630.78 Median $4,897.79 Typical High $5,754.40 | Professional | 22 · Increased work | $3,630.78 | $4,897.79 | $5,754.40 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $707.95 Typical High $831.76 | Professional | 26 · Professional part | $537.03 | $707.95 | $831.76 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $602.56 Median $812.83 Typical High $954.99 | Professional | 55 · Aftercare only | $602.56 | $812.83 | $954.99 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $3,388.44 Typical High $3,981.07 | Professional | TC · Technical part | $2,511.89 | $3,388.44 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $3,715.35 Typical High $4,897.79 | Professional | None (both parts) | $1,995.26 | $3,715.35 | $4,897.79 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $676.08 Typical High $870.96 | Professional | 26 · Professional part | $407.38 | $676.08 | $870.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $3,090.30 Typical High $3,981.07 | Professional | TC · Technical part | $1,513.56 | $3,090.30 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $1,905.46 Median $1,905.46 Typical High $5,754.40 | Facility | None | $1,905.46 | $1,905.46 | $5,754.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $3,630.78 Typical High $11,748.98 | Professional | None (both parts) | $1,905.46 | $3,630.78 | $11,748.98 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $660.69 Typical High $2,041.74 | Professional | 26 · Professional part | $346.74 | $660.69 | $2,041.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $2,951.21 Typical High $9,549.93 | Professional | TC · Technical part | $1,548.82 | $2,951.21 | $9,549.93 |
United Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $3,388.44 Typical High $4,073.80 | Professional | None (both parts) | $1,905.46 | $3,388.44 | $4,073.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $616.60 Typical High $776.25 | Professional | 26 · Professional part | $346.74 | $616.60 | $776.25 |
United Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $2,754.23 Typical High $3,311.31 | Professional | TC · Technical part | $1,548.82 | $2,754.23 | $3,311.31 |
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 $912.01 Median $954.99 Typical High $1,000.00 | Professional | 52 · Reduced service | $912.01 | $954.99 | $1,000.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $363.08 Median $380.19 Typical High $398.11 | Professional | 53 · Discontinued | $363.08 | $380.19 | $398.11 |
Where North Dakota sits
The same service costs 3.2 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· 4th of 51
$3,715
AK $4,467TX $1,413
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.