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 $281.84 Median $281.84 Typical High $1,949.84 | Facility | None | $281.84 | $281.84 | $1,949.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $275.42 Typical High $645.65 | Professional | None (both parts) | $169.82 | $275.42 | $645.65 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $478.63 Median $575.44 Typical High $691.83 | Professional | None (both parts) | $478.63 | $575.44 | $691.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $97.72 | Professional | 26 · Professional part | $64.57 | $81.28 | $97.72 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $501.19 Typical High $602.56 | Professional | TC · Technical part | $407.38 | $501.19 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $416.87 Typical High $645.65 | Professional | None (both parts) | $245.47 | $416.87 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $61.66 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $354.81 Typical High $562.34 | Professional | TC · Technical part | $208.93 | $354.81 | $562.34 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $389.05 Typical High $851.14 | Facility | None | $281.84 | $389.05 | $851.14 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $524.81 Typical High $2,398.83 | Professional | None (both parts) | $269.15 | $524.81 | $2,398.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $72.44 Typical High $724.44 | Professional | 26 · Professional part | $38.90 | $72.44 | $724.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $457.09 Typical High $1,659.59 | Professional | TC · Technical part | $234.42 | $457.09 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $467.74 Typical High $645.65 | Professional | None (both parts) | $269.15 | $467.74 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $66.07 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $407.38 Typical High $549.54 | Professional | TC · Technical part | $234.42 | $407.38 | $549.54 |
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 $575.44 Median $691.83 Typical High $831.76 | Professional | 22 · Increased work | $575.44 | $691.83 | $831.76 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $114.82 Typical High $138.04 | Professional | 55 · Aftercare only | $95.50 | $114.82 | $138.04 |
Where North Dakota sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 6th of 51
$525
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.