How much rates vary
Facilitymedian $355 · 10th to 90th $355 to $537Professionalmedian $724 · 10th to 90th $355 to $977
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 $354.81 Median $354.81 Typical High $354.81 | Facility | None | $354.81 | $354.81 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $354.81 Typical High $467.74 | Professional | None (both parts) | $323.59 | $354.81 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $50.12 | Professional | 26 · Professional part | $42.66 | $46.77 | $50.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $275.42 | $309.03 | $416.87 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $630.96 Median $831.76 Typical High $977.24 | Professional | None (both parts) | $630.96 | $831.76 | $977.24 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $758.58 Median $1,000.00 Typical High $1,174.90 | Professional | 22 · Increased work | $758.58 | $1,000.00 | $1,174.90 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $95.50 Typical High $114.82 | Professional | 26 · Professional part | $74.13 | $95.50 | $114.82 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $125.89 Median $165.96 Typical High $194.98 | Professional | 55 · Aftercare only | $125.89 | $165.96 | $194.98 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $741.31 Typical High $870.96 | Professional | TC · Technical part | $562.34 | $741.31 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $741.31 Typical High $1,047.13 | Professional | None (both parts) | $363.08 | $741.31 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $52.48 | $93.33 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $660.69 Typical High $933.25 | Professional | TC · Technical part | $309.03 | $660.69 | $933.25 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $1,071.52 | Facility | None | $354.81 | $354.81 | $1,071.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $354.81 Median $660.69 Typical High $2,344.23 | Professional | None (both parts) | $354.81 | $660.69 | $2,344.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $91.20 Typical High $281.84 | Professional | 26 · Professional part | $47.86 | $91.20 | $281.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $575.44 Typical High $2,041.74 | Professional | TC · Technical part | $309.03 | $575.44 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $630.96 Typical High $812.83 | Professional | None (both parts) | $354.81 | $630.96 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $85.11 Typical High $107.15 | Professional | 26 · Professional part | $47.86 | $85.11 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $549.54 Typical High $691.83 | Professional | TC · Technical part | $309.03 | $549.54 | $691.83 |
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 $177.83 Median $177.83 Typical High $213.80 | Professional | 52 · Reduced service | $177.83 | $177.83 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | 53 · Discontinued | $70.79 | $70.79 | $85.11 |
Where North Dakota sits
The same service costs 3.0 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
$708
AK $813NM $275
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.