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 $2,089.30 | Facility | None | $363.08 | $363.08 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $354.81 Typical High $776.25 | Professional | None (both parts) | $288.40 | $354.81 | $776.25 |
BCBS North Dakota Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Facility | None | $1,778.28 | $1,778.28 | $1,778.28 |
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 $93.33 Median $117.49 Typical High $141.25 | Professional | 26 · Professional part | $93.33 | $117.49 | $141.25 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $562.34 Typical High $676.08 | Professional | TC · Technical part | $457.09 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $512.86 Typical High $851.14 | Professional | None (both parts) | $288.40 | $512.86 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $52.48 | $102.33 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $416.87 Typical High $707.95 | Professional | TC · Technical part | $234.42 | $416.87 | $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 $691.83 Typical High $2,187.76 | Professional | None (both parts) | $363.08 | $691.83 | $2,187.76 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $112.20 Typical High $346.74 | Professional | 26 · Professional part | $58.88 | $112.20 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $588.84 Typical High $1,819.70 | Professional | TC · Technical part | $309.03 | $588.84 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $676.08 Typical High $831.76 | Professional | None (both parts) | $316.23 | $676.08 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $107.15 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $562.34 Typical High $691.83 | Professional | TC · Technical part | $263.03 | $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 $138.04 Typical High $162.18 | Professional | 55 · Aftercare only | $109.65 | $138.04 | $162.18 |
Where North Dakota sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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
$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.