How much rates vary
Facilitymedian $19 · 10th to 90th $19 to $32Professionalmedian $38 · 10th to 90th $19 to $47
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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.62 Median $18.62 Typical High $20.89 | Professional | None (both parts) | $18.62 | $18.62 | $20.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.51 Typical High $8.51 | Professional | 26 · Professional part | $7.76 | $8.51 | $8.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $10.23 Typical High $13.49 | Professional | TC · Technical part | $10.23 | $10.23 | $13.49 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $33.11 Median $44.67 Typical High $48.98 | Professional | None (both parts) | $33.11 | $44.67 | $48.98 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $39.81 Median $53.70 Typical High $58.88 | Professional | 22 · Increased work | $39.81 | $53.70 | $58.88 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.62 Typical High $20.89 | Professional | 26 · Professional part | $14.13 | $18.62 | $20.89 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $8.91 Typical High $10.00 | Professional | 55 · Aftercare only | $6.76 | $8.91 | $10.00 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $29.51 | Professional | TC · Technical part | $19.50 | $25.70 | $29.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $24.55 Typical High $30.20 | Professional | None (both parts) | $24.55 | $24.55 | $30.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $9.12 Typical High $11.22 | Professional | 26 · Professional part | $8.91 | $9.12 | $11.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $15.49 Typical High $19.05 | Professional | TC · Technical part | $15.49 | $15.49 | $19.05 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $56.23 | Facility | None | $18.62 | $18.62 | $56.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $19.05 Median $40.74 Typical High $114.82 | Professional | None (both parts) | $19.05 | $40.74 | $114.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $17.78 Typical High $114.82 | Professional | 26 · Professional part | $8.71 | $17.78 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $22.91 Typical High $70.79 | Professional | TC · Technical part | $10.47 | $22.91 | $70.79 |
United Setting Professional Modifier None (both parts) Typical Low $19.05 Median $34.67 Typical High $40.74 | Professional | None (both parts) | $19.05 | $34.67 | $40.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $15.49 Typical High $17.78 | Professional | 26 · Professional part | $8.71 | $15.49 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $10.47 Median $19.95 Typical High $23.44 | Professional | TC · Technical part | $10.47 | $19.95 | $23.44 |
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 $9.33 Median $9.33 Typical High $10.47 | Professional | 52 · Reduced service | $9.33 | $9.33 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.72 Median $3.72 Typical High $4.17 | Professional | 53 · Discontinued | $3.72 | $3.72 | $4.17 |
Where North Dakota sits
The same service costs 2.3 times more in Wisconsin than in North Carolina. 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· 3rd of 51
$37.15
WI $39.81NC $17.38
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.