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 $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $57.54 | $123.03 | $239.88 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $354.81 | Professional | None (both parts) | $239.88 | $295.12 | $354.81 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $102.33 | Professional | 26 · Professional part | $69.18 | $87.10 | $102.33 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $251.19 | Professional | TC · Technical part | $173.78 | $208.93 | $251.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $208.93 Typical High $331.13 | Professional | None (both parts) | $107.15 | $208.93 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $72.44 Typical High $100.00 | Professional | 26 · Professional part | $42.66 | $72.44 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $22.39 | $151.36 | $234.42 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $363.08 | Facility | None | $123.03 | $123.03 | $363.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $181.97 Typical High $891.25 | Professional | None (both parts) | $112.20 | $181.97 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $74.13 Typical High $416.87 | Professional | 26 · Professional part | $40.74 | $74.13 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $112.20 Typical High $645.65 | Professional | TC · Technical part | $52.48 | $112.20 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $112.20 | $158.49 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $40.74 | $70.79 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $100.00 Typical High $151.36 | Professional | TC · Technical part | $52.48 | $100.00 | $151.36 |
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 $288.40 Median $354.81 Typical High $426.58 | Professional | 22 · Increased work | $288.40 | $354.81 | $426.58 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $58.88 Typical High $70.79 | Professional | 55 · Aftercare only | $47.86 | $58.88 | $70.79 |
Where North Dakota sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 7th of 51
$240
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.