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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $363.08 Typical High $1,000.00 | Professional | None (both parts) | $288.40 | $363.08 | $1,000.00 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $549.54 Median $676.08 Typical High $812.83 | Professional | None (both parts) | $549.54 | $676.08 | $812.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $141.25 | Professional | 26 · Professional part | $95.50 | $117.49 | $141.25 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $562.34 Typical High $676.08 | Professional | TC · Technical part | $446.68 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $602.56 Typical High $851.14 | Professional | None (both parts) | $288.40 | $602.56 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $53.70 | $102.33 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $501.19 Typical High $707.95 | Professional | TC · Technical part | $234.42 | $501.19 | $707.95 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $1,096.48 | Facility | None | $363.08 | $363.08 | $1,096.48 |
Medica Setting Professional Modifier None (both parts) Typical Low $363.08 Median $707.95 Typical High $2,137.96 | Professional | None (both parts) | $363.08 | $707.95 | $2,137.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $112.20 Typical High $354.81 | Professional | 26 · Professional part | $60.26 | $112.20 | $354.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $602.56 Typical High $1,778.28 | Professional | TC · Technical part | $302.00 | $602.56 | $1,778.28 |
United Setting Professional Modifier None (both parts) Typical Low $363.08 Median $676.08 Typical High $831.76 | Professional | None (both parts) | $363.08 | $676.08 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $107.15 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $562.34 Typical High $691.83 | Professional | TC · Technical part | $302.00 | $562.34 | $691.83 |
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 $660.69 Median $812.83 Typical High $977.24 | Professional | 22 · Increased work | $660.69 | $812.83 | $977.24 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $134.90 Typical High $162.18 | Professional | 55 · Aftercare only | $109.65 | $134.90 | $162.18 |
Where North Dakota sits
The same service costs 3.6 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
$646
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.