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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $870.96 Typical High $2,454.71 | Professional | None (both parts) | $851.14 | $870.96 | $2,454.71 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,137.96 Typical High $2,630.27 | Professional | None (both parts) | $1,819.70 | $2,137.96 | $2,630.27 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $213.80 Typical High $263.03 | Professional | 26 · Professional part | $181.97 | $213.80 | $263.03 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,905.46 Typical High $2,344.23 | Professional | TC · Technical part | $1,621.81 | $1,905.46 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $1,445.44 Typical High $2,511.89 | Professional | None (both parts) | $645.65 | $1,445.44 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $173.78 Typical High $245.47 | Professional | 26 · Professional part | $109.65 | $173.78 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $1,318.26 Typical High $2,290.87 | Professional | TC · Technical part | $575.44 | $1,318.26 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $2,570.40 | Facility | None | $851.14 | $851.14 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,479.11 Typical High $6,456.54 | Professional | None (both parts) | $870.96 | $1,479.11 | $6,456.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $194.98 Typical High $1,412.54 | Professional | 26 · Professional part | $107.15 | $194.98 | $1,412.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,288.25 Typical High $5,754.40 | Professional | TC · Technical part | $758.58 | $1,288.25 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,412.54 Typical High $1,949.84 | Professional | None (both parts) | $870.96 | $1,412.54 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $173.78 Typical High $229.09 | Professional | 26 · Professional part | $107.15 | $173.78 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,174.90 Typical High $1,698.24 | Professional | TC · Technical part | $758.58 | $1,174.90 | $1,698.24 |
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 $2,187.76 Median $2,570.40 Typical High $3,162.28 | Professional | 22 · Increased work | $2,187.76 | $2,570.40 | $3,162.28 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $363.08 Median $426.58 Typical High $524.81 | Professional | 55 · Aftercare only | $363.08 | $426.58 | $524.81 |
Where North Dakota sits
The same service costs 5.5 times more in Alaska than in Indiana. 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
$1,820
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.