How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $165.96 Median $165.96 Typical High $1,995.26 | Facility | None | $165.96 | $165.96 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $151.36 | $165.96 | $269.15 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $275.42 Median $354.81 Typical High $416.87 | Professional | None (both parts) | $275.42 | $354.81 | $416.87 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $102.33 | Professional | 26 · Professional part | $69.18 | $87.10 | $102.33 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $269.15 Typical High $316.23 | Professional | TC · Technical part | $204.17 | $269.15 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $338.84 | Facility | None | $295.12 | $295.12 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $354.81 Typical High $575.44 | Professional | None (both parts) | $251.19 | $354.81 | $575.44 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $239.88 Typical High $489.78 | Facility | None | $125.89 | $239.88 | $489.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $147.91 | $213.80 | $354.81 |
United Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $269.15 | Facility | None | $125.89 | $251.19 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $213.80 Typical High $346.74 | Professional | None (both parts) | $147.91 | $213.80 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $74.13 Typical High $87.10 | Professional | 26 · Professional part | $41.69 | $74.13 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $144.54 Typical High $275.42 | Professional | TC · Technical part | $95.50 | $144.54 | $275.42 |
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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $323.59 Median $426.58 Typical High $501.19 | Professional | 22 · Increased work | $323.59 | $426.58 | $501.19 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $70.79 Typical High $83.18 | Professional | 55 · Aftercare only | $54.95 | $70.79 | $83.18 |
Where North Dakota sits
The same service costs 5.6 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· 13th of 51
$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.