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 $489.78 Median $489.78 Typical High $6,760.83 | Facility | None | $489.78 | $489.78 | $6,760.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $501.19 Typical High $1,202.26 | Professional | None (both parts) | $407.38 | $501.19 | $1,202.26 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,047.13 Typical High $1,258.93 | Professional | None (both parts) | $851.14 | $1,047.13 | $1,258.93 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $489.78 Typical High $588.84 | Professional | 26 · Professional part | $398.11 | $489.78 | $588.84 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $562.34 Typical High $676.08 | Professional | TC · Technical part | $457.09 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $933.25 Typical High $1,445.44 | Professional | None (both parts) | $489.78 | $933.25 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $389.05 Typical High $562.34 | Professional | 26 · Professional part | $239.88 | $389.05 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $501.19 Typical High $794.33 | Professional | TC · Technical part | $257.04 | $501.19 | $794.33 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $707.95 Typical High $3,235.94 | Facility | None | $489.78 | $707.95 | $3,235.94 |
Medica Setting Professional Modifier None (both parts) Typical Low $501.19 Median $1,000.00 Typical High $7,413.10 | Professional | None (both parts) | $501.19 | $1,000.00 | $7,413.10 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $446.68 Typical High $1,698.24 | Professional | 26 · Professional part | $234.42 | $446.68 | $1,698.24 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $549.54 Typical High $6,165.95 | Professional | TC · Technical part | $263.03 | $549.54 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $501.19 Median $912.01 Typical High $1,202.26 | Professional | None (both parts) | $501.19 | $912.01 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $398.11 Typical High $524.81 | Professional | 26 · Professional part | $234.42 | $398.11 | $524.81 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $489.78 Typical High $741.31 | Professional | TC · Technical part | $263.03 | $489.78 | $741.31 |
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 $1,023.29 Median $1,258.93 Typical High $1,513.56 | Professional | 22 · Increased work | $1,023.29 | $1,258.93 | $1,513.56 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $208.93 Typical High $251.19 | Professional | 55 · Aftercare only | $169.82 | $208.93 | $251.19 |
Where North Dakota sits
The same service costs 4.9 times more in Alaska than in Florida. 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
$977
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.