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 $109.65 Median $109.65 Typical High $213.80 | Facility | None | $109.65 | $109.65 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $91.20 | $109.65 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $29.51 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $79.43 | $154.88 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $199.53 Median $257.04 Typical High $295.12 | Professional | None (both parts) | $199.53 | $257.04 | $295.12 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $66.07 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $66.07 | $77.62 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $218.78 | Professional | TC · Technical part | $147.91 | $190.55 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $162.18 Typical High $257.04 | Professional | None (both parts) | $93.33 | $162.18 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $26.92 | $42.66 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $120.23 Typical High $186.21 | Professional | TC · Technical part | $67.61 | $120.23 | $186.21 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $323.59 | Facility | None | $109.65 | $109.65 | $323.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $218.78 Typical High $676.08 | Professional | None (both parts) | $109.65 | $218.78 | $676.08 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $60.26 Typical High $181.97 | Professional | 26 · Professional part | $30.20 | $60.26 | $181.97 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $158.49 Typical High $489.78 | Professional | TC · Technical part | $79.43 | $158.49 | $489.78 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $109.65 | $173.78 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $47.86 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $125.89 Typical High $169.82 | Professional | TC · Technical part | $79.43 | $125.89 | $169.82 |
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 $239.88 Median $309.03 Typical High $354.81 | Professional | 22 · Increased work | $239.88 | $309.03 | $354.81 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $39.81 Median $51.29 Typical High $58.88 | Professional | 55 · Aftercare only | $39.81 | $51.29 | $58.88 |
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· 8th of 51
$200
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.