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 $79.43 Median $79.43 Typical High $741.31 | Facility | None | $79.43 | $79.43 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $144.54 | Professional | None (both parts) | $79.43 | $83.18 | $144.54 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $169.82 | $223.87 | $269.15 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $125.89 | Professional | 26 · Professional part | $87.10 | $107.15 | $125.89 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $44.67 Typical High $53.70 | Professional | 55 · Aftercare only | $34.67 | $44.67 | $53.70 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $141.25 | Professional | TC · Technical part | $85.11 | $112.20 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $165.96 | Facility | None | $144.54 | $144.54 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $125.89 | $173.78 | $281.84 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $134.90 Typical High $269.15 | Facility | None | $79.43 | $134.90 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $151.36 Typical High $169.82 | Professional | None (both parts) | $83.18 | $151.36 | $169.82 |
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 $83.18 Median $147.91 Typical High $173.78 | Professional | None (both parts) | $83.18 | $147.91 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $83.18 Typical High $100.00 | Professional | 26 · Professional part | $47.86 | $83.18 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $63.10 Typical High $77.62 | Professional | TC · Technical part | $35.48 | $63.10 | $77.62 |
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 $204.17 Median $269.15 Typical High $323.59 | Professional | 22 · Increased work | $204.17 | $269.15 | $323.59 |
Where North Dakota sits
The same service costs 5.9 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
$182
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.