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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $741.31 Typical High $1,122.02 | Professional | None (both parts) | $602.56 | $741.31 | $1,122.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $223.87 | Professional | 26 · Professional part | $117.49 | $125.89 | $223.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $616.60 Typical High $912.01 | Professional | TC · Technical part | $416.87 | $616.60 | $912.01 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $691.83 Median $891.25 Typical High $1,047.13 | Professional | None (both parts) | $691.83 | $891.25 | $1,047.13 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $263.03 Typical High $309.03 | Professional | 26 · Professional part | $199.53 | $263.03 | $309.03 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $630.96 Typical High $741.31 | Professional | TC · Technical part | $489.78 | $630.96 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,122.02 Typical High $1,621.81 | Professional | None (both parts) | $724.44 | $1,122.02 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $181.97 Typical High $295.12 | Professional | 26 · Professional part | $117.49 | $181.97 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $891.25 Typical High $1,318.26 | Professional | TC · Technical part | $645.65 | $891.25 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $3,162.28 | Facility | None | $741.31 | $741.31 | $3,162.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,047.13 Typical High $4,466.84 | Professional | None (both parts) | $691.83 | $1,047.13 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $251.19 Typical High $741.31 | Professional | 26 · Professional part | $128.82 | $251.19 | $741.31 |
Medica Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $794.33 Typical High $3,715.35 | Professional | TC · Technical part | $549.54 | $794.33 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $630.96 Median $912.01 Typical High $1,348.96 | Professional | None (both parts) | $630.96 | $912.01 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $213.80 Typical High $269.15 | Professional | 26 · Professional part | $123.03 | $213.80 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $691.83 Typical High $1,047.13 | Professional | TC · Technical part | $489.78 | $691.83 | $1,047.13 |
3 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 $831.76 Median $1,071.52 Typical High $1,258.93 | Professional | 22 · Increased work | $831.76 | $1,071.52 | $1,258.93 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $1,380.38 Median $1,778.28 Typical High $2,089.30 | Professional | 50 · Both sides | $1,380.38 | $1,778.28 | $2,089.30 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $177.83 Typical High $208.93 | Professional | 55 · Aftercare only | $138.04 | $177.83 | $208.93 |
Where North Dakota sits
The same service costs 7.4 times more in Alaska than in Washington. 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
$912
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.