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 $389.05 Median $389.05 Typical High $389.05 | Facility | None | $389.05 | $389.05 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $389.05 Typical High $407.38 | Professional | None (both parts) | $338.84 | $389.05 | $407.38 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $691.83 Median $870.96 Typical High $1,023.29 | Professional | None (both parts) | $691.83 | $870.96 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $575.44 Typical High $691.83 | Professional | 26 · Professional part | $457.09 | $575.44 | $691.83 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $288.40 Typical High $346.74 | Professional | TC · Technical part | $234.42 | $288.40 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $602.56 Typical High $977.24 | Professional | None (both parts) | $363.08 | $602.56 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $436.52 Typical High $660.69 | Professional | 26 · Professional part | $263.03 | $436.52 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $208.93 Typical High $323.59 | Professional | TC · Technical part | $87.10 | $208.93 | $323.59 |
Medica Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $1,174.90 | Facility | None | $389.05 | $389.05 | $1,174.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $389.05 Median $707.95 Typical High $2,511.89 | Professional | None (both parts) | $389.05 | $707.95 | $2,511.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $489.78 Typical High $2,137.96 | Professional | 26 · Professional part | $269.15 | $489.78 | $2,137.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $213.80 Typical High $1,698.24 | Professional | TC · Technical part | $123.03 | $213.80 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $389.05 Median $676.08 Typical High $851.14 | Professional | None (both parts) | $389.05 | $676.08 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $467.74 Typical High $575.44 | Professional | 26 · Professional part | $269.15 | $467.74 | $575.44 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $194.98 Typical High $269.15 | Professional | TC · Technical part | $123.03 | $194.98 | $269.15 |
3 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 $831.76 Median $1,023.29 Typical High $1,230.27 | Professional | 22 · Increased work | $831.76 | $1,023.29 | $1,230.27 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $138.04 Median $173.78 Typical High $208.93 | Professional | 55 · Aftercare only | $138.04 | $173.78 | $208.93 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $69.18 Median $87.10 Typical High $102.33 | Professional | 56 · Pre-op care only | $69.18 | $87.10 | $102.33 |
Where North Dakota sits
The same service costs 5.9 times more in Alaska than in Alabama. 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
$741
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.