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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $70.79 | Professional | None (both parts) | $56.23 | $70.79 | $70.79 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $125.89 | $151.36 | $181.97 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.60 Typical High $19.95 | Professional | 26 · Professional part | $13.49 | $16.60 | $19.95 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $162.18 | Professional | TC · Technical part | $112.20 | $134.90 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $117.49 Typical High $186.21 | Professional | None (both parts) | $63.10 | $117.49 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $13.80 Typical High $19.95 | Professional | 26 · Professional part | $7.59 | $13.80 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $104.71 Typical High $165.96 | Professional | TC · Technical part | $57.54 | $104.71 | $165.96 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $213.80 | Facility | None | $70.79 | $70.79 | $213.80 |
Medica Setting Professional Modifier None (both parts) Typical Low $72.44 Median $186.21 Typical High $446.68 | Professional | None (both parts) | $72.44 | $186.21 | $446.68 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $18.62 Typical High $123.03 | Professional | 26 · Professional part | $8.32 | $18.62 | $123.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $169.82 Typical High $407.38 | Professional | TC · Technical part | $63.10 | $169.82 | $407.38 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $72.44 | $158.49 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $17.38 Typical High $20.89 | Professional | 26 · Professional part | $8.32 | $17.38 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $63.10 | $138.04 | $190.55 |
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 $151.36 Median $181.97 Typical High $218.78 | Professional | 22 · Increased work | $151.36 | $181.97 | $218.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $25.12 Median $30.20 Typical High $36.31 | Professional | 55 · Aftercare only | $25.12 | $30.20 | $36.31 |
Where North Dakota sits
The same service costs 8.1 times more in Alabama than in Indiana. 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
$141
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.