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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $257.04 Typical High $288.40 | Professional | None (both parts) | $223.87 | $257.04 | $288.40 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $426.58 Median $537.03 Typical High $645.65 | Professional | None (both parts) | $426.58 | $537.03 | $645.65 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $100.00 | Professional | 26 · Professional part | $67.61 | $83.18 | $100.00 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $446.68 Typical High $537.03 | Professional | TC · Technical part | $363.08 | $446.68 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $380.19 Typical High $630.96 | Professional | None (both parts) | $223.87 | $380.19 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $36.31 | $72.44 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $331.13 Typical High $537.03 | Professional | TC · Technical part | $186.21 | $331.13 | $537.03 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $851.14 | Facility | None | $288.40 | $288.40 | $851.14 |
Medica Setting Professional Modifier None (both parts) Typical Low $288.40 Median $467.74 Typical High $1,698.24 | Professional | None (both parts) | $288.40 | $467.74 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $79.43 Typical High $309.03 | Professional | 26 · Professional part | $42.66 | $79.43 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $398.11 Typical High $1,445.44 | Professional | TC · Technical part | $218.78 | $398.11 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $467.74 Typical High $645.65 | Professional | None (both parts) | $245.47 | $467.74 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $74.13 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $380.19 Typical High $549.54 | Professional | TC · Technical part | $208.93 | $380.19 | $549.54 |
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 $512.86 Median $645.65 Typical High $758.58 | Professional | 22 · Increased work | $512.86 | $645.65 | $758.58 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $85.11 Median $107.15 Typical High $128.82 | Professional | 55 · Aftercare only | $85.11 | $107.15 | $128.82 |
Where North Dakota sits
The same service costs 5.0 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· 8th of 51
$479
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.