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 $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $870.96 Typical High $2,754.23 | Professional | None (both parts) | $776.25 | $870.96 | $2,754.23 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,995.26 Typical High $2,398.83 | Professional | None (both parts) | $1,659.59 | $1,995.26 | $2,398.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $812.83 Median $1,000.00 Typical High $1,202.26 | Professional | 26 · Professional part | $812.83 | $1,000.00 | $1,202.26 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,023.29 Typical High $1,230.27 | Professional | TC · Technical part | $831.76 | $1,023.29 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,412.54 Typical High $2,290.87 | Professional | None (both parts) | $851.14 | $1,412.54 | $2,290.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $489.78 Median $870.96 Typical High $1,202.26 | Professional | 26 · Professional part | $489.78 | $870.96 | $1,202.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $724.44 Typical High $1,148.15 | Professional | TC · Technical part | $331.13 | $724.44 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $2,630.27 | Facility | None | $870.96 | $870.96 | $2,630.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,584.89 Typical High $6,309.57 | Professional | None (both parts) | $891.25 | $1,584.89 | $6,309.57 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $870.96 Typical High $5,011.87 | Professional | 26 · Professional part | $478.63 | $870.96 | $5,011.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $707.95 Typical High $4,073.80 | Professional | TC · Technical part | $389.05 | $707.95 | $4,073.80 |
United Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,479.11 Typical High $1,949.84 | Professional | None (both parts) | $891.25 | $1,479.11 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $812.83 Typical High $1,174.90 | Professional | 26 · Professional part | $478.63 | $812.83 | $1,174.90 |
United Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $630.96 Typical High $812.83 | Professional | TC · Technical part | $389.05 | $630.96 | $812.83 |
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 $1,949.84 Median $2,398.83 Typical High $2,884.03 | Professional | 22 · Increased work | $1,949.84 | $2,398.83 | $2,884.03 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $331.13 Median $407.38 Typical High $478.63 | Professional | 55 · Aftercare only | $331.13 | $407.38 | $478.63 |
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
$1,660
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.