How much rates vary
Facilitymedian $148 · 10th to 90th $148 to $537Professionalmedian $282 · 10th to 90th $148 to $363
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 $147.91 Median $147.91 Typical High $549.54 | Facility | None | $147.91 | $147.91 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $138.04 | $147.91 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $81.28 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $60.26 | $66.07 | $109.65 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $346.74 | Professional | None (both parts) | $223.87 | $295.12 | $346.74 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $269.15 Median $354.81 Typical High $416.87 | Professional | 22 · Increased work | $269.15 | $354.81 | $416.87 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $169.82 Typical High $199.53 | Professional | 26 · Professional part | $128.82 | $169.82 | $199.53 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $58.88 Typical High $69.18 | Professional | 55 · Aftercare only | $44.67 | $58.88 | $69.18 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $93.33 | $128.82 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $169.82 | $288.40 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $165.96 Typical High $213.80 | Professional | 26 · Professional part | $91.20 | $165.96 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $120.23 | $154.88 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $147.91 Typical High $446.68 | Facility | None | $112.20 | $147.91 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $162.18 Median $281.84 Typical High $870.96 | Professional | None (both parts) | $162.18 | $281.84 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $158.49 Typical High $501.19 | Professional | 26 · Professional part | $83.18 | $158.49 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $128.82 Typical High $380.19 | Professional | TC · Technical part | $66.07 | $128.82 | $380.19 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $263.03 Typical High $323.59 | Professional | None (both parts) | $147.91 | $263.03 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $147.91 Typical High $186.21 | Professional | 26 · Professional part | $83.18 | $147.91 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $123.03 Typical High $138.04 | Professional | TC · Technical part | $66.07 | $123.03 | $138.04 |
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 $69.18 Median $74.13 Typical High $77.62 | Professional | 52 · Reduced service | $69.18 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $29.51 Typical High $31.62 | Professional | 53 · Discontinued | $27.54 | $29.51 | $31.62 |
Where North Dakota sits
The same service costs 4.0 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· 3rd of 51
$282
AK $339TX $85.11
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.