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 $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $194.98 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $69.18 | $81.28 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $114.82 | $251.19 | $251.19 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $302.00 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $302.00 | $398.11 | $467.74 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $169.82 Typical High $199.53 | Professional | 26 · Professional part | $131.83 | $169.82 | $199.53 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $263.03 | Professional | TC · Technical part | $169.82 | $229.09 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $213.80 | $371.54 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $114.82 Typical High $194.98 | Professional | 26 · Professional part | $74.13 | $114.82 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $229.09 | $436.52 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $331.13 Typical High $1,000.00 | Facility | None | $281.84 | $331.13 | $1,000.00 |
Medica Setting Professional Modifier None (both parts) Typical Low $331.13 Median $660.69 Typical High $1,949.84 | Professional | None (both parts) | $331.13 | $660.69 | $1,949.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $162.18 Typical High $489.78 | Professional | 26 · Professional part | $83.18 | $162.18 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $489.78 Typical High $1,445.44 | Professional | TC · Technical part | $251.19 | $489.78 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $309.03 | $501.19 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $128.82 Typical High $173.78 | Professional | 26 · Professional part | $83.18 | $128.82 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $380.19 Typical High $524.81 | Professional | TC · Technical part | $234.42 | $380.19 | $524.81 |
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 $363.08 Median $478.63 Typical High $549.54 | Professional | 22 · Increased work | $363.08 | $478.63 | $549.54 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $81.28 Typical High $93.33 | Professional | 55 · Aftercare only | $60.26 | $81.28 | $93.33 |
Where North Dakota sits
The same service costs 7.4 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· 9th of 51
$398
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.