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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $44.67 Typical High $107.15 | Professional | None (both parts) | $38.02 | $44.67 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.60 Typical High $38.02 | Professional | 26 · Professional part | $13.80 | $16.60 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $28.84 Typical High $70.79 | Professional | TC · Technical part | $23.44 | $28.84 | $70.79 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $79.43 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $79.43 | $102.33 | $120.23 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $38.90 | Professional | 26 · Professional part | $25.70 | $33.11 | $38.90 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $53.70 | $69.18 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $69.18 Typical High $109.65 | Professional | None (both parts) | $41.69 | $69.18 | $109.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $21.88 Typical High $38.02 | Professional | 26 · Professional part | $13.80 | $21.88 | $38.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $47.86 Typical High $74.13 | Professional | TC · Technical part | $26.92 | $47.86 | $74.13 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $134.90 | Facility | None | $44.67 | $44.67 | $134.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $43.65 Median $83.18 Typical High $295.12 | Professional | None (both parts) | $43.65 | $83.18 | $295.12 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $32.36 Typical High $93.33 | Professional | 26 · Professional part | $15.85 | $32.36 | $93.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $51.29 Typical High $204.17 | Professional | TC · Technical part | $27.54 | $51.29 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $43.65 Median $70.79 Typical High $93.33 | Professional | None (both parts) | $43.65 | $70.79 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $25.70 Typical High $35.48 | Professional | 26 · Professional part | $15.85 | $25.70 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $44.67 Typical High $54.95 | Professional | TC · Technical part | $27.54 | $44.67 | $54.95 |
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 $95.50 Median $123.03 Typical High $144.54 | Professional | 22 · Increased work | $95.50 | $123.03 | $144.54 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $15.85 Median $20.42 Typical High $23.99 | Professional | 55 · Aftercare only | $15.85 | $20.42 | $23.99 |
Where North Dakota sits
The same service costs 3.9 times more in Alaska than in Utah. 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
$79.43
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.