How much rates vary
Facilitymedian $141 · 10th to 90th $141 to $224Professionalmedian $295 · 10th to 90th $151 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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $190.55 | Professional | None (both parts) | $141.25 | $141.25 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.18 Typical High $30.90 | Professional | 26 · Professional part | $27.54 | $28.18 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $162.18 | Professional | TC · Technical part | $112.20 | $112.20 | $162.18 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $257.04 Median $331.13 Typical High $389.05 | Professional | None (both parts) | $257.04 | $331.13 | $389.05 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $309.03 Median $398.11 Typical High $467.74 | Professional | 22 · Increased work | $309.03 | $398.11 | $467.74 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $58.88 | $69.18 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $66.07 Typical High $79.43 | Professional | 55 · Aftercare only | $51.29 | $66.07 | $79.43 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $275.42 Typical High $323.59 | Professional | TC · Technical part | $213.80 | $275.42 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $331.13 Typical High $426.58 | Professional | None (both parts) | $169.82 | $331.13 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $57.54 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $275.42 Typical High $354.81 | Professional | TC · Technical part | $141.25 | $275.42 | $354.81 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $426.58 | Facility | None | $141.25 | $141.25 | $426.58 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $263.03 Typical High $1,174.90 | Professional | None (both parts) | $141.25 | $263.03 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $54.95 Typical High $602.56 | Professional | 26 · Professional part | $28.84 | $54.95 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $208.93 Typical High $1,000.00 | Professional | TC · Technical part | $114.82 | $208.93 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $251.19 Typical High $323.59 | Professional | None (both parts) | $141.25 | $251.19 | $323.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $51.29 Typical High $66.07 | Professional | 26 · Professional part | $28.84 | $51.29 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $199.53 Typical High $257.04 | Professional | TC · Technical part | $114.82 | $199.53 | $257.04 |
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 $70.79 Median $70.79 Typical High $95.50 | Professional | 52 · Reduced service | $70.79 | $70.79 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $38.02 | Professional | 53 · Discontinued | $28.18 | $28.18 | $38.02 |
Where North Dakota sits
The same service costs 2.9 times more in Alaska than in New Mexico. 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
$282
AK $347NM $120
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.