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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None (both parts) Typical Low $562.34 Median $616.60 Typical High $645.65 | Professional | None (both parts) | $562.34 | $616.60 | $645.65 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,513.56 Typical High $1,862.09 | Professional | None (both parts) | $1,230.27 | $1,513.56 | $1,862.09 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $181.97 Typical High $223.87 | Professional | 26 · Professional part | $154.88 | $181.97 | $223.87 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,318.26 Typical High $1,621.81 | Professional | TC · Technical part | $1,071.52 | $1,318.26 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $977.24 Typical High $1,513.56 | Professional | None (both parts) | $436.52 | $977.24 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $144.54 Typical High $190.55 | Professional | 26 · Professional part | $85.11 | $144.54 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $851.14 Typical High $1,318.26 | Professional | TC · Technical part | $331.13 | $851.14 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $616.60 Median $616.60 Typical High $1,862.09 | Facility | None | $616.60 | $616.60 | $1,862.09 |
Medica Setting Professional Modifier None (both parts) Typical Low $524.81 Median $891.25 Typical High $4,168.69 | Professional | None (both parts) | $524.81 | $891.25 | $4,168.69 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $165.96 Typical High $676.08 | Professional | 26 · Professional part | $87.10 | $165.96 | $676.08 |
Medica Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $758.58 Typical High $3,715.35 | Professional | TC · Technical part | $478.63 | $758.58 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $562.34 Median $812.83 Typical High $1,148.15 | Professional | None (both parts) | $562.34 | $812.83 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $144.54 Typical High $177.83 | Professional | 26 · Professional part | $87.10 | $144.54 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $676.08 Typical High $1,000.00 | Professional | TC · Technical part | $478.63 | $676.08 | $1,000.00 |
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 $1,479.11 Median $1,819.70 Typical High $2,238.72 | Professional | 22 · Increased work | $1,479.11 | $1,819.70 | $2,238.72 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $245.47 Median $302.00 Typical High $371.54 | Professional | 55 · Aftercare only | $245.47 | $302.00 | $371.54 |
Where North Dakota sits
The same service costs 6.0 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
$1,202
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.