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 $81.28 Median $85.11 Typical High $1,023.29 | Facility | None | $81.28 | $85.11 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $245.47 | Professional | None (both parts) | $69.18 | $81.28 | $245.47 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $138.04 | $169.82 | $204.17 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $45.71 | $56.23 | $67.61 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $114.82 Typical High $138.04 | Professional | TC · Technical part | $93.33 | $114.82 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $70.79 | $151.36 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $25.12 | $48.98 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $45.71 | $91.20 | $138.04 |
Medica Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $257.04 | Facility | None | $85.11 | $85.11 | $257.04 |
Medica Setting Professional Modifier None (both parts) Typical Low $85.11 Median $169.82 Typical High $512.86 | Professional | None (both parts) | $85.11 | $169.82 | $512.86 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $53.70 Typical High $169.82 | Professional | 26 · Professional part | $28.18 | $53.70 | $169.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $112.20 Typical High $338.84 | Professional | TC · Technical part | $57.54 | $112.20 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $154.88 Typical High $194.98 | Professional | None (both parts) | $85.11 | $154.88 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $28.18 | $50.12 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $104.71 Typical High $128.82 | Professional | TC · Technical part | $57.54 | $104.71 | $128.82 |
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 $165.96 Median $204.17 Typical High $245.47 | Professional | 22 · Increased work | $165.96 | $204.17 | $245.47 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $27.54 Median $33.88 Typical High $40.74 | Professional | 55 · Aftercare only | $27.54 | $33.88 | $40.74 |
Where North Dakota sits
The same service costs 4.6 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· 7th of 51
$158
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.