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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $199.53 Typical High $208.93 | Professional | None (both parts) | $165.96 | $199.53 | $208.93 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $501.19 | Professional | None (both parts) | $338.84 | $416.87 | $501.19 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $40.74 | $51.29 | $61.66 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $371.54 Typical High $446.68 | Professional | TC · Technical part | $295.12 | $371.54 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $173.78 | $316.23 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $22.39 | $43.65 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $275.42 Typical High $446.68 | Professional | TC · Technical part | $151.36 | $275.42 | $446.68 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $630.96 | Facility | None | $208.93 | $208.93 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $389.05 Typical High $1,288.25 | Professional | None (both parts) | $213.80 | $389.05 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $44.67 Typical High $213.80 | Professional | 26 · Professional part | $24.55 | $44.67 | $213.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $354.81 Typical High $1,148.15 | Professional | TC · Technical part | $186.21 | $354.81 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $380.19 Typical High $478.63 | Professional | None (both parts) | $190.55 | $380.19 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $24.55 | $42.66 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $331.13 Typical High $426.58 | Professional | TC · Technical part | $165.96 | $331.13 | $426.58 |
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 $407.38 Median $501.19 Typical High $602.56 | Professional | 22 · Increased work | $407.38 | $501.19 | $602.56 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $67.61 Median $83.18 Typical High $100.00 | Professional | 55 · Aftercare only | $67.61 | $83.18 | $100.00 |
Where North Dakota sits
The same service costs 4.6 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· 8th of 51
$380
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.