How much rates vary
Facilitymedian $135 · 10th to 90th $135 to $204Professionalmedian $269 · 10th to 90th $135 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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $208.93 | Professional | None (both parts) | $134.90 | $134.90 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $38.90 | Professional | 26 · Professional part | $26.92 | $27.54 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $173.78 | Professional | TC · Technical part | $107.15 | $107.15 | $173.78 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $363.08 | Professional | None (both parts) | $234.42 | $302.00 | $363.08 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $281.84 Median $363.08 Typical High $426.58 | Professional | 22 · Increased work | $281.84 | $363.08 | $426.58 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $43.65 | $56.23 | $67.61 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $60.26 Typical High $72.44 | Professional | 55 · Aftercare only | $46.77 | $60.26 | $72.44 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $245.47 Typical High $295.12 | Professional | TC · Technical part | $190.55 | $245.47 | $295.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $302.00 Typical High $398.11 | Professional | None (both parts) | $165.96 | $302.00 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $56.23 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $56.23 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $239.88 Typical High $323.59 | Professional | TC · Technical part | $134.90 | $239.88 | $323.59 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $407.38 | Facility | None | $134.90 | $134.90 | $407.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $257.04 Typical High $1,023.29 | Professional | None (both parts) | $134.90 | $257.04 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $53.70 Typical High $602.56 | Professional | 26 · Professional part | $28.18 | $53.70 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $204.17 Typical High $851.14 | Professional | TC · Technical part | $107.15 | $204.17 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $134.90 | $245.47 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $28.18 | $50.12 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $194.98 Typical High $239.88 | Professional | TC · Technical part | $107.15 | $194.98 | $239.88 |
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 $67.61 Median $67.61 Typical High $85.11 | Professional | 52 · Reduced service | $67.61 | $67.61 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | 53 · Discontinued | $26.92 | $26.92 | $34.67 |
Where North Dakota sits
The same service costs 3.2 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· 5th of 51
$269
AK $324TX $102
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.