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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $562.34 | Professional | None (both parts) | $162.18 | $194.98 | $562.34 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $316.23 Median $389.05 Typical High $467.74 | Professional | None (both parts) | $316.23 | $389.05 | $467.74 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $48.98 Typical High $58.88 | Professional | 26 · Professional part | $39.81 | $48.98 | $58.88 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $338.84 Typical High $407.38 | Professional | TC · Technical part | $275.42 | $338.84 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $162.18 | $288.40 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $21.38 | $42.66 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $251.19 Typical High $416.87 | Professional | TC · Technical part | $141.25 | $251.19 | $416.87 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $602.56 | Facility | None | $199.53 | $199.53 | $602.56 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $380.19 Typical High $1,202.26 | Professional | None (both parts) | $199.53 | $380.19 | $1,202.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $45.71 Typical High $275.42 | Professional | 26 · Professional part | $24.55 | $45.71 | $275.42 |
Medica Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $338.84 Typical High $1,047.13 | Professional | TC · Technical part | $177.83 | $338.84 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $363.08 Typical High $457.09 | Professional | None (both parts) | $181.97 | $363.08 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $43.65 Typical High $57.54 | Professional | 26 · Professional part | $24.55 | $43.65 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $323.59 Typical High $398.11 | Professional | TC · Technical part | $158.49 | $323.59 | $398.11 |
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 $380.19 Median $467.74 Typical High $562.34 | Professional | 22 · Increased work | $380.19 | $467.74 | $562.34 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $63.10 Median $77.62 Typical High $93.33 | Professional | 55 · Aftercare only | $63.10 | $77.62 | $93.33 |
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· 7th of 51
$363
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.