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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $257.04 | Professional | None (both parts) | $199.53 | $234.42 | $257.04 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $389.05 Median $489.78 Typical High $575.44 | Professional | None (both parts) | $389.05 | $489.78 | $575.44 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $93.33 | Professional | 26 · Professional part | $63.10 | $77.62 | $93.33 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $407.38 Typical High $489.78 | Professional | TC · Technical part | $323.59 | $407.38 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $363.08 Typical High $602.56 | Professional | None (both parts) | $204.17 | $363.08 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $34.67 | $67.61 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $302.00 Typical High $512.86 | Professional | TC · Technical part | $169.82 | $302.00 | $512.86 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $776.25 | Facility | None | $257.04 | $257.04 | $776.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $257.04 Median $478.63 Typical High $1,548.82 | Professional | None (both parts) | $257.04 | $478.63 | $1,548.82 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $72.44 Typical High $371.54 | Professional | 26 · Professional part | $39.81 | $72.44 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $416.87 Typical High $1,288.25 | Professional | TC · Technical part | $218.78 | $416.87 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $457.09 Typical High $575.44 | Professional | None (both parts) | $245.47 | $457.09 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $39.81 | $69.18 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $389.05 Typical High $489.78 | Professional | TC · Technical part | $208.93 | $389.05 | $489.78 |
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 $467.74 Median $575.44 Typical High $691.83 | Professional | 22 · Increased work | $467.74 | $575.44 | $691.83 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $97.72 Typical High $117.49 | Professional | 55 · Aftercare only | $77.62 | $97.72 | $117.49 |
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· 9th of 51
$447
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.