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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $229.09 Typical High $245.47 | Professional | None (both parts) | $204.17 | $229.09 | $245.47 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $380.19 Median $478.63 Typical High $575.44 | Professional | None (both parts) | $380.19 | $478.63 | $575.44 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $69.18 | $83.18 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $407.38 Typical High $489.78 | Professional | TC · Technical part | $323.59 | $407.38 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $354.81 Typical High $602.56 | Professional | None (both parts) | $199.53 | $354.81 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $30.90 | $60.26 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $302.00 Typical High $524.81 | Professional | TC · Technical part | $169.82 | $302.00 | $524.81 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $741.31 | Facility | None | $245.47 | $245.47 | $741.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $245.47 Median $478.63 Typical High $1,513.56 | Professional | None (both parts) | $245.47 | $478.63 | $1,513.56 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $63.10 Typical High $251.19 | Professional | 26 · Professional part | $34.67 | $63.10 | $251.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $416.87 Typical High $1,288.25 | Professional | TC · Technical part | $213.80 | $416.87 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $457.09 Typical High $562.34 | Professional | None (both parts) | $239.88 | $457.09 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $60.26 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $398.11 Typical High $489.78 | Professional | TC · Technical part | $208.93 | $398.11 | $489.78 |
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 $457.09 Median $575.44 Typical High $691.83 | Professional | 22 · Increased work | $457.09 | $575.44 | $691.83 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $75.86 Median $95.50 Typical High $114.82 | Professional | 55 · Aftercare only | $75.86 | $95.50 | $114.82 |
Where North Dakota sits
The same service costs 4.2 times more in Alaska than in Florida. 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
$437
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.