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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $478.63 Typical High $1,412.54 | Professional | None (both parts) | $416.87 | $478.63 | $1,412.54 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $954.99 Median $1,174.90 Typical High $1,412.54 | Professional | None (both parts) | $954.99 | $1,174.90 | $1,412.54 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $154.88 Typical High $186.21 | Professional | 26 · Professional part | $123.03 | $154.88 | $186.21 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,023.29 Typical High $1,230.27 | Professional | TC · Technical part | $831.76 | $1,023.29 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $851.14 Typical High $1,318.26 | Professional | None (both parts) | $354.81 | $851.14 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $134.90 Typical High $181.97 | Professional | 26 · Professional part | $75.86 | $134.90 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $741.31 Typical High $1,148.15 | Professional | TC · Technical part | $309.03 | $741.31 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $1,412.54 | Facility | None | $478.63 | $478.63 | $1,412.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $457.09 Median $794.33 Typical High $3,235.94 | Professional | None (both parts) | $457.09 | $794.33 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $131.83 Typical High $1,047.13 | Professional | 26 · Professional part | $72.44 | $131.83 | $1,047.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $676.08 Typical High $2,818.38 | Professional | TC · Technical part | $389.05 | $676.08 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $758.58 Typical High $1,071.52 | Professional | None (both parts) | $457.09 | $758.58 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $125.89 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $125.89 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $616.60 Typical High $891.25 | Professional | TC · Technical part | $389.05 | $616.60 | $891.25 |
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 $1,148.15 Median $1,412.54 Typical High $1,698.24 | Professional | 22 · Increased work | $1,148.15 | $1,412.54 | $1,698.24 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $234.42 Typical High $281.84 | Professional | 55 · Aftercare only | $194.98 | $234.42 | $281.84 |
Where North Dakota sits
The same service costs 6.3 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
$955
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.