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 $691.83 Median $691.83 Typical High $691.83 | Facility | None | $691.83 | $691.83 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $602.56 | $691.83 | $691.83 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,445.44 Typical High $1,737.80 | Professional | None (both parts) | $1,174.90 | $1,445.44 | $1,737.80 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $147.91 Typical High $177.83 | Professional | 26 · Professional part | $120.23 | $147.91 | $177.83 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,318.26 Typical High $1,548.82 | Professional | TC · Technical part | $1,071.52 | $1,318.26 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $602.56 Median $1,071.52 Typical High $1,905.46 | Professional | None (both parts) | $602.56 | $1,071.52 | $1,905.46 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $128.82 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $954.99 Typical High $1,737.80 | Professional | TC · Technical part | $537.03 | $954.99 | $1,737.80 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $2,089.30 | Facility | None | $691.83 | $691.83 | $2,089.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,584.89 Typical High $4,677.35 | Professional | None (both parts) | $691.83 | $1,584.89 | $4,677.35 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $128.82 Typical High $794.33 | Professional | 26 · Professional part | $70.79 | $128.82 | $794.33 |
Medica Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $1,445.44 Typical High $4,365.16 | Professional | TC · Technical part | $630.96 | $1,445.44 | $4,365.16 |
United Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,318.26 Typical High $1,737.80 | Professional | None (both parts) | $691.83 | $1,318.26 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $123.03 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $123.03 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $1,148.15 Typical High $1,621.81 | Professional | TC · Technical part | $630.96 | $1,148.15 | $1,621.81 |
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 $1,412.54 Median $1,737.80 Typical High $2,089.30 | Professional | 22 · Increased work | $1,412.54 | $1,737.80 | $2,089.30 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $234.42 Median $288.40 Typical High $346.74 | Professional | 55 · Aftercare only | $234.42 | $288.40 | $346.74 |
Where North Dakota sits
The same service costs 5.1 times more in Alaska than in Texas. 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
$1,349
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.