How much rates vary
Facilitymedian $87 · 10th to 90th $87 to $148Professionalmedian $170 · 10th to 90th $87 to $229
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 $87.10 Median $87.10 Typical High $97.72 | Facility | None | $87.10 | $87.10 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $87.10 Typical High $102.33 | Professional | None (both parts) | $81.28 | $87.10 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $45.71 Typical High $51.29 | Professional | 26 · Professional part | $41.69 | $45.71 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $40.74 Typical High $54.95 | Professional | TC · Technical part | $39.81 | $40.74 | $54.95 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $223.87 | Professional | None (both parts) | $144.54 | $186.21 | $223.87 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $173.78 Median $223.87 Typical High $269.15 | Professional | 22 · Increased work | $173.78 | $223.87 | $269.15 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $112.20 | Professional | 26 · Professional part | $72.44 | $93.33 | $112.20 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $38.02 Typical High $44.67 | Professional | 55 · Aftercare only | $28.84 | $38.02 | $44.67 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $112.20 | Professional | TC · Technical part | $72.44 | $95.50 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $181.97 Typical High $239.88 | Professional | None (both parts) | $89.13 | $181.97 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $93.33 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $91.20 Typical High $120.23 | Professional | TC · Technical part | $38.90 | $91.20 | $120.23 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $87.10 Typical High $263.03 | Facility | None | $87.10 | $87.10 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $87.10 Median $162.18 Typical High $562.34 | Professional | None (both parts) | $87.10 | $162.18 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $89.13 Typical High $316.23 | Professional | 26 · Professional part | $46.77 | $89.13 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $75.86 Typical High $316.23 | Professional | TC · Technical part | $40.74 | $75.86 | $316.23 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $87.10 | $154.88 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $83.18 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $72.44 Typical High $93.33 | Professional | TC · Technical part | $40.74 | $72.44 | $93.33 |
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 $43.65 Median $43.65 Typical High $48.98 | Professional | 52 · Reduced service | $43.65 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $19.50 | Professional | 53 · Discontinued | $17.38 | $17.38 | $19.50 |
Where North Dakota sits
The same service costs 3.2 times more in Alaska than in Alabama. 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
$170
AK $219AL $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.