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 $91.20 Median $91.20 Typical High $331.13 | Facility | None | $91.20 | $91.20 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $91.20 Typical High $204.17 | Professional | None (both parts) | $83.18 | $91.20 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $34.67 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $125.89 | Professional | TC · Technical part | $51.29 | $56.23 | $125.89 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $239.88 | Professional | None (both parts) | $158.49 | $208.93 | $239.88 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $77.62 | $89.13 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $151.36 | Professional | TC · Technical part | $100.00 | $131.83 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $83.18 | $134.90 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $31.62 | $50.12 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $85.11 Typical High $134.90 | Professional | TC · Technical part | $51.29 | $85.11 | $134.90 |
Medica Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $281.84 | Facility | None | $91.20 | $91.20 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $91.20 Median $190.55 Typical High $575.44 | Professional | None (both parts) | $91.20 | $190.55 | $575.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $72.44 Typical High $213.80 | Professional | 26 · Professional part | $35.48 | $72.44 | $213.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $114.82 Typical High $371.54 | Professional | TC · Technical part | $56.23 | $114.82 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $91.20 | $144.54 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $75.86 | Professional | 26 · Professional part | $35.48 | $57.54 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $56.23 | $93.33 | $125.89 |
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 $190.55 Median $251.19 Typical High $288.40 | Professional | 22 · Increased work | $190.55 | $251.19 | $288.40 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $41.69 Typical High $47.86 | Professional | 55 · Aftercare only | $31.62 | $41.69 | $47.86 |
Where North Dakota sits
The same service costs 3.7 times more in Alaska than in Texas. 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
$170
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.