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 $53.70 Median $53.70 Typical High $234.42 | Facility | None | $53.70 | $53.70 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $53.70 Typical High $478.63 | Professional | None (both parts) | $47.86 | $53.70 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.59 Typical High $141.25 | Professional | 26 · Professional part | $11.75 | $12.59 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $40.74 Typical High $338.84 | Professional | TC · Technical part | $36.31 | $40.74 | $338.84 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $79.43 Median $107.15 Typical High $120.23 | Professional | None (both parts) | $79.43 | $107.15 | $120.23 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $25.70 | $30.20 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $77.62 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $87.10 Typical High $138.04 | Professional | None (both parts) | $52.48 | $87.10 | $138.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $17.38 Typical High $29.51 | Professional | 26 · Professional part | $11.75 | $17.38 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $66.07 Typical High $102.33 | Professional | TC · Technical part | $39.81 | $66.07 | $102.33 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $190.55 | Facility | None | $53.70 | $53.70 | $190.55 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $112.20 Typical High $354.81 | Professional | None (both parts) | $61.66 | $112.20 | $354.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $24.55 Typical High $74.13 | Professional | 26 · Professional part | $12.59 | $24.55 | $74.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $87.10 Typical High $309.03 | Professional | TC · Technical part | $40.74 | $87.10 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $93.33 Typical High $120.23 | Professional | None (both parts) | $53.70 | $93.33 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $20.89 Typical High $28.84 | Professional | 26 · Professional part | $12.30 | $20.89 | $28.84 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $70.79 Typical High $107.15 | Professional | TC · Technical part | $40.74 | $70.79 | $107.15 |
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 $20.89 Typical High $24.55 | Professional | 55 · Aftercare only | $15.85 | $20.89 | $24.55 |
Where North Dakota sits
The same service costs 5.5 times more in Wyoming 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· 14th of 51
$97.72
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.