How much rates vary
Facilitymedian $1,380 · 10th to 90th $457 to $2,089Professionalmedian $794 · 10th to 90th $457 to $1,023
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $457.09 Median $1,479.11 Typical High $2,089.30 | Facility | None | $457.09 | $1,479.11 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $457.09 Typical High $954.99 | Professional | None (both parts) | $354.81 | $457.09 | $954.99 |
BCBS North Dakota Setting Facility Modifier None Typical Low $707.95 Median $1,513.56 Typical High $2,398.83 | Facility | None | $707.95 | $1,513.56 | $2,398.83 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $676.08 Median $831.76 Typical High $1,000.00 | Professional | None (both parts) | $676.08 | $831.76 | $1,000.00 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $107.15 | Professional | 26 · Professional part | $72.44 | $89.13 | $107.15 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $741.31 Typical High $891.25 | Professional | TC · Technical part | $602.56 | $741.31 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $758.58 Typical High $1,047.13 | Professional | None (both parts) | $354.81 | $758.58 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $39.81 | $77.62 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $676.08 Typical High $954.99 | Professional | TC · Technical part | $309.03 | $676.08 | $954.99 |
Medica Setting Facility Modifier None Typical Low $457.09 Median $776.25 Typical High $1,584.89 | Facility | None | $457.09 | $776.25 | $1,584.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $457.09 Median $912.01 Typical High $2,691.53 | Professional | None (both parts) | $457.09 | $912.01 | $2,691.53 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $85.11 Typical High $269.15 | Professional | 26 · Professional part | $45.71 | $85.11 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $812.83 Typical High $2,398.83 | Professional | TC · Technical part | $407.38 | $812.83 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $457.09 Median $851.14 Typical High $1,023.29 | Professional | None (both parts) | $457.09 | $851.14 | $1,023.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $45.71 | $81.28 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $758.58 Typical High $933.25 | Professional | TC · Technical part | $407.38 | $758.58 | $933.25 |
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 $812.83 Median $1,000.00 Typical High $1,202.26 | Professional | 22 · Increased work | $812.83 | $1,000.00 | $1,202.26 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $169.82 Typical High $199.53 | Professional | 55 · Aftercare only | $134.90 | $169.82 | $199.53 |
Where North Dakota sits
The same service costs 3.7 times more in Alaska 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· 6th of 51
$832
AK $1,349TX $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.