How much rates vary
Facilitymedian $123 · 10th to 90th $123 to $209Professionalmedian $234 · 10th to 90th $123 to $302
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 $123.03 Median $123.03 Typical High $457.09 | Facility | None | $123.03 | $123.03 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $114.82 | $123.03 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $128.82 | Professional | 26 · Professional part | $66.07 | $67.61 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $91.20 | Professional | TC · Technical part | $50.12 | $54.95 | $91.20 |
BCBS North Dakota Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $288.40 | Professional | None (both parts) | $186.21 | $245.47 | $288.40 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $223.87 Median $295.12 Typical High $346.74 | Professional | 22 · Increased work | $223.87 | $295.12 | $346.74 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $141.25 Typical High $165.96 | Professional | 26 · Professional part | $107.15 | $141.25 | $165.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $37.15 Median $48.98 Typical High $57.54 | Professional | 55 · Aftercare only | $37.15 | $48.98 | $57.54 |
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 $141.25 Median $239.88 Typical High $309.03 | Professional | None (both parts) | $141.25 | $239.88 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $138.04 Typical High $177.83 | Professional | 26 · Professional part | $77.62 | $138.04 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $100.00 | $128.82 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $123.03 Typical High $208.93 | Facility | None | $81.28 | $123.03 | $208.93 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $239.88 Typical High $724.44 | Professional | None (both parts) | $138.04 | $239.88 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $131.83 Typical High $416.87 | Professional | 26 · Professional part | $69.18 | $131.83 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $109.65 Typical High $316.23 | Professional | TC · Technical part | $54.95 | $109.65 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $123.03 | $218.78 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $123.03 Typical High $158.49 | Professional | 26 · Professional part | $69.18 | $123.03 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $104.71 Typical High $117.49 | Professional | TC · Technical part | $54.95 | $104.71 | $117.49 |
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 $57.54 Median $61.66 Typical High $66.07 | Professional | 52 · Reduced service | $57.54 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $26.30 | Professional | 53 · Discontinued | $22.91 | $24.55 | $26.30 |
Where North Dakota sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 3rd of 51
$234
AK $275UT $72.44
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.