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 $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $177.83 | Professional | None (both parts) | $141.25 | $165.96 | $177.83 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $416.87 | Professional | None (both parts) | $275.42 | $346.74 | $416.87 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $54.95 | Professional | 26 · Professional part | $37.15 | $45.71 | $54.95 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $363.08 | Professional | TC · Technical part | $239.88 | $302.00 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $144.54 | $257.04 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $38.90 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $223.87 Typical High $371.54 | Professional | TC · Technical part | $125.89 | $223.87 | $371.54 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $537.03 | Facility | None | $177.83 | $177.83 | $537.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $338.84 Typical High $1,071.52 | Professional | None (both parts) | $181.97 | $338.84 | $1,071.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $43.65 Typical High $165.96 | Professional | 26 · Professional part | $22.91 | $43.65 | $165.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $302.00 Typical High $954.99 | Professional | TC · Technical part | $158.49 | $302.00 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $323.59 Typical High $407.38 | Professional | None (both parts) | $151.36 | $323.59 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $40.74 Typical High $53.70 | Professional | 26 · Professional part | $22.91 | $40.74 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $275.42 Typical High $346.74 | Professional | TC · Technical part | $134.90 | $275.42 | $346.74 |
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 $331.13 Median $416.87 Typical High $501.19 | Professional | 22 · Increased work | $331.13 | $416.87 | $501.19 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $54.95 Median $69.18 Typical High $83.18 | Professional | 55 · Aftercare only | $54.95 | $69.18 | $83.18 |
Where North Dakota sits
The same service costs 4.7 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· 9th of 51
$316
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.