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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $204.17 Typical High $223.87 | Professional | None (both parts) | $169.82 | $204.17 | $223.87 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $363.08 Median $426.58 Typical High $524.81 | Professional | None (both parts) | $363.08 | $426.58 | $524.81 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $70.79 Typical High $87.10 | Professional | 26 · Professional part | $58.88 | $70.79 | $87.10 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $354.81 Typical High $436.52 | Professional | TC · Technical part | $302.00 | $354.81 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $177.83 | $338.84 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $31.62 | $61.66 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $281.84 Typical High $446.68 | Professional | TC · Technical part | $144.54 | $281.84 | $446.68 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $660.69 | Facility | None | $223.87 | $223.87 | $660.69 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $436.52 Typical High $1,318.26 | Professional | None (both parts) | $223.87 | $436.52 | $1,318.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $70.79 Typical High $245.47 | Professional | 26 · Professional part | $35.48 | $70.79 | $245.47 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $371.54 Typical High $1,096.48 | Professional | TC · Technical part | $186.21 | $371.54 | $1,096.48 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $426.58 Typical High $501.19 | Professional | None (both parts) | $204.17 | $426.58 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $66.07 Typical High $87.10 | Professional | 26 · Professional part | $35.48 | $66.07 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $354.81 Typical High $426.58 | Professional | TC · Technical part | $165.96 | $354.81 | $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 $436.52 Median $512.86 Typical High $630.96 | Professional | 22 · Increased work | $436.52 | $512.86 | $630.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $85.11 Typical High $104.71 | Professional | 55 · Aftercare only | $72.44 | $85.11 | $104.71 |
Where North Dakota sits
The same service costs 4.6 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· 7th of 51
$417
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.