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 $208.93 Median $707.95 Typical High $3,801.89 | Facility | None | $208.93 | $707.95 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $371.54 Typical High $758.58 | Professional | None (both parts) | $208.93 | $371.54 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $257.04 | Professional | 26 · Professional part | $83.18 | $114.82 | $257.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $251.19 Typical High $457.09 | Professional | TC · Technical part | $125.89 | $251.19 | $457.09 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $575.44 Median $741.31 Typical High $870.96 | Professional | None (both parts) | $575.44 | $741.31 | $870.96 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $251.19 Typical High $295.12 | Professional | 26 · Professional part | $194.98 | $251.19 | $295.12 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $489.78 Typical High $575.44 | Professional | TC · Technical part | $380.19 | $489.78 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $630.96 Typical High $977.24 | Professional | None (both parts) | $380.19 | $630.96 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $169.82 Typical High $281.84 | Professional | 26 · Professional part | $112.20 | $169.82 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $416.87 Typical High $660.69 | Professional | TC · Technical part | $251.19 | $416.87 | $660.69 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $1,047.13 Typical High $1,737.80 | Facility | None | $208.93 | $1,047.13 | $1,737.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $380.19 Median $851.14 Typical High $2,089.30 | Professional | None (both parts) | $380.19 | $851.14 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $239.88 Typical High $707.95 | Professional | 26 · Professional part | $120.23 | $239.88 | $707.95 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $616.60 Typical High $1,778.28 | Professional | TC · Technical part | $245.47 | $616.60 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $630.96 Typical High $870.96 | Professional | None (both parts) | $363.08 | $630.96 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $199.53 Typical High $257.04 | Professional | 26 · Professional part | $114.82 | $199.53 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $446.68 Typical High $616.60 | Professional | TC · Technical part | $245.47 | $446.68 | $616.60 |
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 $691.83 Median $891.25 Typical High $1,047.13 | Professional | 22 · Increased work | $691.83 | $891.25 | $1,047.13 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $114.82 Median $147.91 Typical High $173.78 | Professional | 55 · Aftercare only | $114.82 | $147.91 | $173.78 |
Where North Dakota sits
The same service costs 5.1 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
$661
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.