How much rates vary
Facilitymedian $151 · 10th to 90th $151 to $257Professionalmedian $309 · 10th to 90th $155 to $398
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 $151.36 Median $151.36 Typical High $165.96 | Facility | None | $151.36 | $151.36 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $144.54 | $151.36 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $83.18 | $89.13 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $85.11 | Professional | TC · Technical part | $61.66 | $63.10 | $85.11 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $380.19 | Professional | None (both parts) | $245.47 | $323.59 | $380.19 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $295.12 Median $389.05 Typical High $457.09 | Professional | 22 · Increased work | $295.12 | $389.05 | $457.09 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $181.97 Typical High $218.78 | Professional | 26 · Professional part | $141.25 | $181.97 | $218.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $64.57 Typical High $75.86 | Professional | 55 · Aftercare only | $48.98 | $64.57 | $75.86 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $138.04 Typical High $162.18 | Professional | TC · Technical part | $104.71 | $138.04 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $177.83 | $309.03 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $177.83 Typical High $229.09 | Professional | 26 · Professional part | $102.33 | $177.83 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $74.13 | $131.83 | $177.83 |
Medica Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $457.09 | Facility | None | $151.36 | $151.36 | $457.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $288.40 Typical High $954.99 | Professional | None (both parts) | $154.88 | $288.40 | $954.99 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $173.78 Typical High $537.03 | Professional | 26 · Professional part | $91.20 | $173.78 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $120.23 Typical High $416.87 | Professional | TC · Technical part | $63.10 | $120.23 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $269.15 Typical High $354.81 | Professional | None (both parts) | $154.88 | $269.15 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $162.18 Typical High $208.93 | Professional | 26 · Professional part | $91.20 | $162.18 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $112.20 Typical High $141.25 | Professional | TC · Technical part | $63.10 | $112.20 | $141.25 |
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 $75.86 Median $75.86 Typical High $83.18 | Professional | 52 · Reduced service | $75.86 | $75.86 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $33.11 | Professional | 53 · Discontinued | $30.20 | $30.20 | $33.11 |
Where North Dakota sits
The same service costs 3.6 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· 2nd of 51
$309
AK $380TX $105
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.