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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $125.89 | $223.87 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $42.66 | Professional | 26 · Professional part | $36.31 | $42.66 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $87.10 | $181.97 | $181.97 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $288.40 | Professional | None (both parts) | $186.21 | $251.19 | $288.40 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $104.71 | Professional | 26 · Professional part | $69.18 | $91.20 | $104.71 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $181.97 | Professional | TC · Technical part | $117.49 | $158.49 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $144.54 | $234.42 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $38.02 | $60.26 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $162.18 Typical High $309.03 | Professional | TC · Technical part | $109.65 | $162.18 | $309.03 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $223.87 Typical High $676.08 | Facility | None | $177.83 | $223.87 | $676.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $446.68 Typical High $1,288.25 | Professional | None (both parts) | $223.87 | $446.68 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $85.11 Typical High $257.04 | Professional | 26 · Professional part | $43.65 | $85.11 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $363.08 Typical High $1,023.29 | Professional | TC · Technical part | $181.97 | $363.08 | $1,023.29 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $213.80 | $338.84 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $67.61 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $275.42 Typical High $389.05 | Professional | TC · Technical part | $169.82 | $275.42 | $389.05 |
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 $223.87 Median $302.00 Typical High $346.74 | Professional | 22 · Increased work | $223.87 | $302.00 | $346.74 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $38.02 Median $50.12 Typical High $57.54 | Professional | 55 · Aftercare only | $38.02 | $50.12 | $57.54 |
Where North Dakota sits
The same service costs 6.8 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· 13th of 51
$251
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.