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 $288.40 Median $1,659.59 Typical High $4,786.30 | Facility | None | $288.40 | $1,659.59 | $4,786.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $467.74 Typical High $954.99 | Professional | None (both parts) | $288.40 | $467.74 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $245.47 | Professional | 26 · Professional part | $77.62 | $102.33 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $331.13 Typical High $691.83 | Professional | TC · Technical part | $208.93 | $331.13 | $691.83 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,737.80 Median $2,290.87 Typical High $2,630.27 | Facility | None | $1,737.80 | $2,290.87 | $2,630.27 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $660.69 Median $851.14 Typical High $1,023.29 | Professional | None (both parts) | $660.69 | $851.14 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $229.09 Typical High $269.15 | Professional | 26 · Professional part | $177.83 | $229.09 | $269.15 |
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 $426.58 Median $691.83 Typical High $1,023.29 | Professional | None (both parts) | $426.58 | $691.83 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $154.88 Typical High $263.03 | Professional | 26 · Professional part | $104.71 | $154.88 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $537.03 Typical High $794.33 | Professional | TC · Technical part | $309.03 | $537.03 | $794.33 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $851.14 Typical High $3,467.37 | Facility | None | $288.40 | $851.14 | $3,467.37 |
Medica Setting Professional Modifier None (both parts) Typical Low $407.38 Median $776.25 Typical High $2,570.40 | Professional | None (both parts) | $407.38 | $776.25 | $2,570.40 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $218.78 Typical High $660.69 | Professional | 26 · Professional part | $112.20 | $218.78 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $562.34 Typical High $2,041.74 | Professional | TC · Technical part | $302.00 | $562.34 | $2,041.74 |
United Setting Professional Modifier None (both parts) Typical Low $407.38 Median $676.08 Typical High $933.25 | Professional | None (both parts) | $407.38 | $676.08 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $181.97 Typical High $239.88 | Professional | 26 · Professional part | $109.65 | $181.97 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $489.78 Typical High $707.95 | Professional | TC · Technical part | $302.00 | $489.78 | $707.95 |
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 $794.33 Median $1,023.29 Typical High $1,202.26 | Professional | 22 · Increased work | $794.33 | $1,023.29 | $1,202.26 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $131.83 Median $173.78 Typical High $204.17 | Professional | 55 · Aftercare only | $131.83 | $173.78 | $204.17 |
Where North Dakota sits
The same service costs 5.0 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· 7th of 51
$759
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.