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 $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $60.26 Typical High $63.10 | Professional | None (both parts) | $53.70 | $60.26 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $21.88 | $25.12 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $34.67 Typical High $38.02 | Professional | TC · Technical part | $30.90 | $34.67 | $38.02 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $107.15 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $107.15 | $141.25 | $162.18 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $54.95 Typical High $64.57 | Professional | 26 · Professional part | $42.66 | $54.95 | $64.57 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $97.72 | Professional | TC · Technical part | $64.57 | $85.11 | $97.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $53.70 | $91.20 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $22.91 | $34.67 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $56.23 Typical High $87.10 | Professional | TC · Technical part | $31.62 | $56.23 | $87.10 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $177.83 | Facility | None | $60.26 | $60.26 | $177.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $60.26 Median $120.23 Typical High $398.11 | Professional | None (both parts) | $60.26 | $120.23 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $51.29 Typical High $154.88 | Professional | 26 · Professional part | $25.70 | $51.29 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $67.61 Typical High $239.88 | Professional | TC · Technical part | $34.67 | $67.61 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $95.50 Typical High $131.83 | Professional | None (both parts) | $60.26 | $95.50 | $131.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $25.70 | $40.74 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $54.95 Typical High $72.44 | Professional | TC · Technical part | $34.67 | $54.95 | $72.44 |
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 $128.82 Median $165.96 Typical High $194.98 | Professional | 22 · Increased work | $128.82 | $165.96 | $194.98 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $28.18 Typical High $32.36 | Professional | 55 · Aftercare only | $21.38 | $28.18 | $32.36 |
Where North Dakota sits
The same service costs 5.9 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
$112
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.