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 $501.19 Median $501.19 Typical High $2,511.89 | Facility | None | $501.19 | $501.19 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $501.19 Typical High $1,071.52 | Professional | None (both parts) | $338.84 | $501.19 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $776.25 Median $954.99 Typical High $1,148.15 | Professional | None (both parts) | $776.25 | $954.99 | $1,148.15 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $177.83 Typical High $213.80 | Professional | 26 · Professional part | $144.54 | $177.83 | $213.80 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $776.25 Typical High $933.25 | Professional | TC · Technical part | $630.96 | $776.25 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $691.83 Typical High $1,174.90 | Professional | None (both parts) | $407.38 | $691.83 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $138.04 Typical High $204.17 | Professional | 26 · Professional part | $85.11 | $138.04 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $575.44 Typical High $954.99 | Professional | TC · Technical part | $323.59 | $575.44 | $954.99 |
Medica Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $1,412.54 | Facility | None | $501.19 | $501.19 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $512.86 Median $977.24 Typical High $4,466.84 | Professional | None (both parts) | $512.86 | $977.24 | $4,466.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $162.18 Typical High $1,348.96 | Professional | 26 · Professional part | $85.11 | $162.18 | $1,348.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $831.76 Typical High $3,162.28 | Professional | TC · Technical part | $426.58 | $831.76 | $3,162.28 |
United Setting Professional Modifier None (both parts) Typical Low $512.86 Median $933.25 Typical High $1,148.15 | Professional | None (both parts) | $512.86 | $933.25 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $147.91 Typical High $181.97 | Professional | 26 · Professional part | $85.11 | $147.91 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $776.25 Typical High $954.99 | Professional | TC · Technical part | $426.58 | $776.25 | $954.99 |
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 $933.25 Median $1,148.15 Typical High $1,380.38 | Professional | 22 · Increased work | $933.25 | $1,148.15 | $1,380.38 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $154.88 Median $190.55 Typical High $229.09 | Professional | 55 · Aftercare only | $154.88 | $190.55 | $229.09 |
Where North Dakota sits
The same service costs 4.6 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· 5th of 51
$891
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.