How much rates vary
Facilitymedian $95 · 10th to 90th $95 to $148Professionalmedian $195 · 10th to 90th $95 to $263
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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $147.91 | Professional | None (both parts) | $70.79 | $95.50 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $35.48 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $60.26 Typical High $95.50 | Professional | TC · Technical part | $35.48 | $60.26 | $95.50 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $169.82 Median $218.78 Typical High $263.03 | Professional | None (both parts) | $169.82 | $218.78 | $263.03 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $204.17 Median $263.03 Typical High $316.23 | Professional | 22 · Increased work | $204.17 | $263.03 | $316.23 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $87.10 | Professional | 26 · Professional part | $56.23 | $72.44 | $87.10 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $33.88 Median $44.67 Typical High $52.48 | Professional | 55 · Aftercare only | $33.88 | $44.67 | $52.48 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $151.36 Typical High $177.83 | Professional | TC · Technical part | $114.82 | $151.36 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $87.10 | $199.53 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $72.44 Typical High $93.33 | Professional | 26 · Professional part | $42.66 | $72.44 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $134.90 Typical High $190.55 | Professional | TC · Technical part | $41.69 | $134.90 | $190.55 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $288.40 | Facility | None | $95.50 | $95.50 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $95.50 Median $165.96 Typical High $691.83 | Professional | None (both parts) | $95.50 | $165.96 | $691.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $67.61 Typical High $223.87 | Professional | 26 · Professional part | $35.48 | $67.61 | $223.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $95.50 Typical High $467.74 | Professional | TC · Technical part | $53.70 | $95.50 | $467.74 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $91.20 | $154.88 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $63.10 Typical High $81.28 | Professional | 26 · Professional part | $35.48 | $63.10 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $89.13 Typical High $131.83 | Professional | TC · Technical part | $52.48 | $89.13 | $131.83 |
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 $47.86 Median $47.86 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $47.86 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $22.91 | Professional | 53 · Discontinued | $19.05 | $19.05 | $22.91 |
Where North Dakota sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 4th of 51
$186
AK $229KY $64.57
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.