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 $123.03 Median $123.03 Typical High $1,995.26 | Facility | None | $123.03 | $123.03 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $134.90 | Professional | None (both parts) | $112.20 | $123.03 | $134.90 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $316.23 | Professional | None (both parts) | $218.78 | $269.15 | $316.23 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $239.88 Typical High $281.84 | Professional | 26 · Professional part | $190.55 | $239.88 | $281.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $43.65 Median $53.70 Typical High $63.10 | Professional | 55 · Aftercare only | $43.65 | $53.70 | $63.10 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $38.02 | Professional | TC · Technical part | $25.70 | $32.36 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $239.88 | Facility | None | $208.93 | $208.93 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $398.11 | Professional | None (both parts) | $177.83 | $251.19 | $398.11 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $269.15 | Facility | None | $123.03 | $173.78 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $125.89 | $223.87 | $263.03 |
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 $125.89 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $125.89 | $223.87 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $204.17 Typical High $239.88 | Professional | 26 · Professional part | $114.82 | $204.17 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $20.42 Typical High $26.92 | Professional | TC · Technical part | $12.02 | $20.42 | $26.92 |
1 more rate 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 $263.03 Median $323.59 Typical High $380.19 | Professional | 22 · Increased work | $263.03 | $323.59 | $380.19 |
Where North Dakota sits
The same service costs 4.7 times more in Alaska than in Alabama. 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· 8th of 51
$245
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.