How much rates vary
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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $812.83 | Professional | None (both parts) | $588.84 | $588.84 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $251.19 | Professional | 26 · Professional part | $229.09 | $229.09 | $251.19 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $562.34 | Professional | TC · Technical part | $363.08 | $363.08 | $562.34 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,584.89 Typical High $1,862.09 | Professional | None (both parts) | $1,202.26 | $1,584.89 | $1,862.09 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,445.44 Median $1,905.46 Typical High $2,238.72 | Professional | 22 · Increased work | $1,445.44 | $1,905.46 | $2,238.72 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $478.63 Typical High $562.34 | Professional | 26 · Professional part | $371.54 | $478.63 | $562.34 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $239.88 Median $316.23 Typical High $371.54 | Professional | 55 · Aftercare only | $239.88 | $316.23 | $371.54 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,122.02 Typical High $1,318.26 | Professional | TC · Technical part | $831.76 | $1,122.02 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $616.60 Median $1,412.54 Typical High $1,995.26 | Professional | None (both parts) | $616.60 | $1,412.54 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $467.74 Typical High $602.56 | Professional | 26 · Professional part | $275.42 | $467.74 | $602.56 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $977.24 Typical High $1,380.38 | Professional | TC · Technical part | $302.00 | $977.24 | $1,380.38 |
Medica Setting Facility Modifier None Typical Low $588.84 Median $588.84 Typical High $1,778.28 | Facility | None | $588.84 | $588.84 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,096.48 Typical High $3,981.07 | Professional | None (both parts) | $588.84 | $1,096.48 | $3,981.07 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $446.68 Typical High $1,412.54 | Professional | 26 · Professional part | $234.42 | $446.68 | $1,412.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $676.08 Typical High $2,570.40 | Professional | TC · Technical part | $363.08 | $676.08 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $588.84 Median $1,047.13 Typical High $1,348.96 | Professional | None (both parts) | $588.84 | $1,047.13 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $416.87 Typical High $524.81 | Professional | 26 · Professional part | $234.42 | $416.87 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $645.65 Typical High $812.83 | Professional | TC · Technical part | $346.74 | $645.65 | $812.83 |
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 $295.12 Median $295.12 Typical High $407.38 | Professional | 52 · Reduced service | $295.12 | $295.12 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $162.18 | Professional | 53 · Discontinued | $117.49 | $117.49 | $162.18 |
Where North Dakota sits
The same service costs 3.2 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· 2nd of 51
$1,349
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.