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 $134.90 Median $134.90 Typical High $1,905.46 | Facility | None | $134.90 | $134.90 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $363.08 | Professional | None (both parts) | $117.49 | $147.91 | $363.08 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $257.04 Median $316.23 Typical High $380.19 | Professional | None (both parts) | $257.04 | $316.23 | $380.19 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $234.42 Typical High $275.42 | Professional | 26 · Professional part | $186.21 | $234.42 | $275.42 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $100.00 | Professional | TC · Technical part | $67.61 | $83.18 | $100.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $151.36 | $275.42 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $177.83 Typical High $269.15 | Professional | 26 · Professional part | $112.20 | $177.83 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $63.10 Typical High $123.03 | Professional | TC · Technical part | $38.90 | $63.10 | $123.03 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $1,584.89 | Facility | None | $134.90 | $134.90 | $1,584.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $288.40 Typical High $3,019.95 | Professional | None (both parts) | $138.04 | $288.40 | $3,019.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $204.17 Typical High $1,047.13 | Professional | 26 · Professional part | $109.65 | $204.17 | $1,047.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $74.13 Typical High $2,511.89 | Professional | TC · Technical part | $25.70 | $74.13 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $138.04 | $263.03 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $190.55 Typical High $239.88 | Professional | 26 · Professional part | $109.65 | $190.55 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $67.61 Typical High $131.83 | Professional | TC · Technical part | $25.70 | $67.61 | $131.83 |
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 $309.03 Median $380.19 Typical High $457.09 | Professional | 22 · Increased work | $309.03 | $380.19 | $457.09 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $51.29 Median $63.10 Typical High $75.86 | Professional | 55 · Aftercare only | $51.29 | $63.10 | $75.86 |
Where North Dakota sits
The same service costs 5.1 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· 8th of 51
$288
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.