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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $407.38 Typical High $436.52 | Professional | None (both parts) | $354.81 | $407.38 | $436.52 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $741.31 Median $912.01 Typical High $1,096.48 | Professional | None (both parts) | $741.31 | $912.01 | $1,096.48 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $436.52 Typical High $524.81 | Professional | 26 · Professional part | $354.81 | $436.52 | $524.81 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $478.63 Typical High $575.44 | Professional | TC · Technical part | $389.05 | $478.63 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $660.69 Typical High $1,047.13 | Professional | None (both parts) | $389.05 | $660.69 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $331.13 Typical High $512.86 | Professional | 26 · Professional part | $199.53 | $331.13 | $512.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $346.74 Typical High $537.03 | Professional | TC · Technical part | $162.18 | $346.74 | $537.03 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $1,230.27 | Facility | None | $407.38 | $407.38 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $416.87 Median $741.31 Typical High $3,162.28 | Professional | None (both parts) | $416.87 | $741.31 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $380.19 Typical High $1,584.89 | Professional | 26 · Professional part | $208.93 | $380.19 | $1,584.89 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $371.54 Typical High $1,348.96 | Professional | TC · Technical part | $204.17 | $371.54 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $707.95 Typical High $912.01 | Professional | None (both parts) | $416.87 | $707.95 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $354.81 Typical High $446.68 | Professional | 26 · Professional part | $208.93 | $354.81 | $446.68 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $204.17 | $338.84 | $457.09 |
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 $891.25 Median $1,096.48 Typical High $1,318.26 | Professional | 22 · Increased work | $891.25 | $1,096.48 | $1,318.26 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $147.91 Median $186.21 Typical High $218.78 | Professional | 55 · Aftercare only | $147.91 | $186.21 | $218.78 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $74.13 Median $91.20 Typical High $109.65 | Professional | 56 · Pre-op care only | $74.13 | $91.20 | $109.65 |
Where North Dakota sits
The same service costs 5.6 times more in Alaska than in Florida. 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
$794
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.