How much rates vary
Facilitymedian $83 · 10th to 90th $83 to $115Professionalmedian $162 · 10th to 90th $83 to $219
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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | None (both parts) | $83.18 | $83.18 | $109.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $30.90 | $31.62 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $51.29 Typical High $64.57 | Professional | TC · Technical part | $48.98 | $51.29 | $64.57 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $208.93 | Professional | None (both parts) | $134.90 | $177.83 | $208.93 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $162.18 Median $213.80 Typical High $251.19 | Professional | 22 · Increased work | $162.18 | $213.80 | $251.19 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $67.61 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $67.61 | $79.43 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $35.48 Typical High $41.69 | Professional | 55 · Aftercare only | $26.92 | $35.48 | $41.69 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $131.83 | Professional | TC · Technical part | $83.18 | $112.20 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $169.82 Typical High $223.87 | Professional | None (both parts) | $89.13 | $169.82 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $38.90 | $64.57 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $107.15 Typical High $138.04 | Professional | TC · Technical part | $47.86 | $107.15 | $138.04 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $251.19 | Facility | None | $83.18 | $83.18 | $251.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $151.36 Typical High $660.69 | Professional | None (both parts) | $83.18 | $151.36 | $660.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $61.66 Typical High $331.13 | Professional | 26 · Professional part | $32.36 | $61.66 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $91.20 Typical High $346.74 | Professional | TC · Technical part | $51.29 | $91.20 | $346.74 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $83.18 | $138.04 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $57.54 Typical High $74.13 | Professional | 26 · Professional part | $32.36 | $57.54 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $85.11 Typical High $117.49 | Professional | TC · Technical part | $51.29 | $85.11 | $117.49 |
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 $41.69 Median $41.69 Typical High $45.71 | Professional | 52 · Reduced service | $41.69 | $41.69 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $18.20 | Professional | 53 · Discontinued | $16.60 | $16.60 | $18.20 |
Where North Dakota sits
The same service costs 3.0 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· 5th of 51
$155
AK $204TX $69.18
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.