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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $229.09 | Professional | None (both parts) | $181.97 | $213.80 | $229.09 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $354.81 Median $446.68 Typical High $537.03 | Professional | None (both parts) | $354.81 | $446.68 | $537.03 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $81.28 | Professional | 26 · Professional part | $54.95 | $67.61 | $81.28 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $380.19 Typical High $457.09 | Professional | TC · Technical part | $302.00 | $380.19 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $190.55 | $331.13 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $60.26 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $158.49 | $281.84 | $457.09 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $691.83 | Facility | None | $229.09 | $229.09 | $691.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $436.52 Typical High $1,412.54 | Professional | None (both parts) | $234.42 | $436.52 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $63.10 Typical High $331.13 | Professional | 26 · Professional part | $33.88 | $63.10 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $371.54 Typical High $1,202.26 | Professional | TC · Technical part | $199.53 | $371.54 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $416.87 Typical High $524.81 | Professional | None (both parts) | $199.53 | $416.87 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $58.88 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $58.88 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $346.74 Typical High $446.68 | Professional | TC · Technical part | $169.82 | $346.74 | $446.68 |
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 $426.58 Median $537.03 Typical High $645.65 | Professional | 22 · Increased work | $426.58 | $537.03 | $645.65 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $89.13 Typical High $107.15 | Professional | 55 · Aftercare only | $72.44 | $89.13 | $107.15 |
Where North Dakota sits
The same service costs 4.9 times more in Alaska than in Kentucky. 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· 8th of 51
$417
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.