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 $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $102.33 | $128.82 | $128.82 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $223.87 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $223.87 | $269.15 | $323.59 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $41.69 | $51.29 | $61.66 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $263.03 | Professional | TC · Technical part | $181.97 | $218.78 | $263.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $114.82 | $239.88 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $44.67 Typical High $64.57 | Professional | 26 · Professional part | $23.44 | $44.67 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $194.98 Typical High $323.59 | Professional | TC · Technical part | $93.33 | $194.98 | $323.59 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $389.05 | Facility | None | $128.82 | $128.82 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $128.82 Median $331.13 Typical High $1,778.28 | Professional | None (both parts) | $128.82 | $331.13 | $1,778.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $57.54 Typical High $446.68 | Professional | 26 · Professional part | $26.30 | $57.54 | $446.68 |
Medica Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $269.15 Typical High $1,621.81 | Professional | TC · Technical part | $102.33 | $269.15 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $128.82 | $288.40 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $53.70 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $234.42 Typical High $288.40 | Professional | TC · Technical part | $102.33 | $234.42 | $288.40 |
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 $269.15 Median $323.59 Typical High $389.05 | Professional | 22 · Increased work | $269.15 | $323.59 | $389.05 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $44.67 Median $53.70 Typical High $64.57 | Professional | 55 · Aftercare only | $44.67 | $53.70 | $64.57 |
Where North Dakota sits
The same service costs 5.2 times more in Alabama than in Texas. 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
$263
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.