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 $1,096.48 Median $1,096.48 Typical High $1,096.48 | Facility | None | $1,096.48 | $1,096.48 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $933.25 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $933.25 | $1,096.48 | $1,096.48 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,290.87 Typical High $2,754.23 | Professional | None (both parts) | $1,862.09 | $2,290.87 | $2,754.23 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $208.93 Typical High $251.19 | Professional | 26 · Professional part | $169.82 | $208.93 | $251.19 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $2,089.30 Typical High $2,511.89 | Professional | TC · Technical part | $1,698.24 | $2,089.30 | $2,511.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,659.59 Typical High $2,570.40 | Professional | None (both parts) | $724.44 | $1,659.59 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $177.83 Typical High $245.47 | Professional | 26 · Professional part | $102.33 | $177.83 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $1,513.56 Typical High $2,344.23 | Professional | TC · Technical part | $660.69 | $1,513.56 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $1,096.48 Median $1,096.48 Typical High $3,235.94 | Facility | None | $1,096.48 | $1,096.48 | $3,235.94 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,949.84 Typical High $6,918.31 | Professional | None (both parts) | $1,096.48 | $1,949.84 | $6,918.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $181.97 Typical High $1,148.15 | Professional | 26 · Professional part | $100.00 | $181.97 | $1,148.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,778.28 Typical High $6,309.57 | Professional | TC · Technical part | $1,000.00 | $1,778.28 | $6,309.57 |
United Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,862.09 Typical High $2,454.71 | Professional | None (both parts) | $1,096.48 | $1,862.09 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $173.78 Typical High $239.88 | Professional | 26 · Professional part | $100.00 | $173.78 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,621.81 Typical High $2,187.76 | Professional | TC · Technical part | $1,000.00 | $1,621.81 | $2,187.76 |
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 $2,238.72 Median $2,754.23 Typical High $3,311.31 | Professional | 22 · Increased work | $2,238.72 | $2,754.23 | $3,311.31 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $457.09 Typical High $549.54 | Professional | 55 · Aftercare only | $371.54 | $457.09 | $549.54 |
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
$2,042
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.