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 $537.03 Median $537.03 Typical High $537.03 | Facility | None | $537.03 | $537.03 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $467.74 Median $537.03 Typical High $575.44 | Professional | None (both parts) | $467.74 | $537.03 | $575.44 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,202.26 Typical High $1,445.44 | Professional | None (both parts) | $977.24 | $1,202.26 | $1,445.44 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $660.69 Typical High $794.33 | Professional | 26 · Professional part | $537.03 | $660.69 | $794.33 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $549.54 Typical High $660.69 | Professional | TC · Technical part | $446.68 | $549.54 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $851.14 Typical High $1,380.38 | Professional | None (both parts) | $512.86 | $851.14 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $501.19 Typical High $758.58 | Professional | 26 · Professional part | $309.03 | $501.19 | $758.58 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $398.11 Typical High $616.60 | Professional | TC · Technical part | $223.87 | $398.11 | $616.60 |
Medica Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $1,621.81 | Facility | None | $537.03 | $537.03 | $1,621.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $549.54 Median $1,000.00 Typical High $3,388.44 | Professional | None (both parts) | $549.54 | $1,000.00 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $575.44 Typical High $2,344.23 | Professional | 26 · Professional part | $316.23 | $575.44 | $2,344.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $426.58 Typical High $1,862.09 | Professional | TC · Technical part | $234.42 | $426.58 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $549.54 Median $933.25 Typical High $1,202.26 | Professional | None (both parts) | $549.54 | $933.25 | $1,202.26 |
United Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $537.03 Typical High $660.69 | Professional | 26 · Professional part | $316.23 | $537.03 | $660.69 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $398.11 Typical High $524.81 | Professional | TC · Technical part | $234.42 | $398.11 | $524.81 |
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 $1,174.90 Median $1,445.44 Typical High $1,737.80 | Professional | 22 · Increased work | $1,174.90 | $1,445.44 | $1,737.80 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $194.98 Median $239.88 Typical High $288.40 | Professional | 55 · Aftercare only | $194.98 | $239.88 | $288.40 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $97.72 Median $120.23 Typical High $144.54 | Professional | 56 · Pre-op care only | $97.72 | $120.23 | $144.54 |
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
$1,047
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.