How much rates vary
Facilitymedian $85 · 10th to 90th $85 to $117Professionalmedian $170 · 10th to 90th $87 to $219
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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $85.11 Typical High $151.36 | Professional | None (both parts) | $79.43 | $85.11 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $34.67 | $38.02 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $47.86 Typical High $87.10 | Professional | TC · Technical part | $44.67 | $47.86 | $87.10 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $138.04 | $181.97 | $213.80 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $79.43 | $93.33 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $104.71 Typical High $123.03 | Professional | TC · Technical part | $77.62 | $104.71 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $173.78 Typical High $229.09 | Professional | None (both parts) | $93.33 | $173.78 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $75.86 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $97.72 Typical High $128.82 | Professional | TC · Technical part | $50.12 | $97.72 | $128.82 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $257.04 | Facility | None | $85.11 | $85.11 | $257.04 |
Medica Setting Professional Modifier None (both parts) Typical Low $87.10 Median $158.49 Typical High $549.54 | Professional | None (both parts) | $87.10 | $158.49 | $549.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $74.13 Typical High $234.42 | Professional | 26 · Professional part | $38.90 | $74.13 | $234.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $87.10 Typical High $316.23 | Professional | TC · Technical part | $47.86 | $87.10 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $151.36 Typical High $194.98 | Professional | None (both parts) | $87.10 | $151.36 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $69.18 Typical High $89.13 | Professional | 26 · Professional part | $38.90 | $69.18 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $81.28 Typical High $107.15 | Professional | TC · Technical part | $47.86 | $81.28 | $107.15 |
5 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 $42.66 Median $42.66 Typical High $45.71 | Professional | 52 · Reduced service | $42.66 | $42.66 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $18.62 | Professional | 53 · Discontinued | $17.38 | $17.38 | $18.62 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $165.96 Median $218.78 Typical High $257.04 | Professional | 22 · Increased work | $165.96 | $218.78 | $257.04 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $275.42 Median $363.08 Typical High $426.58 | Professional | 50 · Both sides | $275.42 | $363.08 | $426.58 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $36.31 Typical High $42.66 | Professional | 55 · Aftercare only | $27.54 | $36.31 | $42.66 |
Where North Dakota sits
The same service costs 3.0 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· 5th of 51
$162
AK $204TX $67.61
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.