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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $83.18 | $104.71 | $104.71 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $269.15 | Professional | None (both parts) | $181.97 | $218.78 | $269.15 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $47.86 | Professional | 26 · Professional part | $32.36 | $39.81 | $47.86 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $218.78 | Professional | TC · Technical part | $147.91 | $181.97 | $218.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $194.98 Typical High $275.42 | Professional | None (both parts) | $91.20 | $194.98 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $17.78 | $34.67 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $72.44 | $151.36 | $223.87 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $316.23 | Facility | None | $104.71 | $104.71 | $316.23 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $208.93 Typical High $912.01 | Professional | None (both parts) | $107.15 | $208.93 | $912.01 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $38.02 Typical High $181.97 | Professional | 26 · Professional part | $20.42 | $38.02 | $181.97 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $158.49 Typical High $794.33 | Professional | TC · Technical part | $87.10 | $158.49 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $107.15 | $186.21 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $20.42 | $35.48 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $87.10 | $151.36 | $223.87 |
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 $218.78 Median $263.03 Typical High $316.23 | Professional | 22 · Increased work | $218.78 | $263.03 | $316.23 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $43.65 Typical High $53.70 | Professional | 55 · Aftercare only | $36.31 | $43.65 | $53.70 |
Where North Dakota sits
The same service costs 5.0 times more in Alabama than in New York. 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
$204
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.