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 $354.81 Median $354.81 Typical High $1,659.59 | Facility | None | $354.81 | $354.81 | $1,659.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $758.58 | Professional | None (both parts) | $281.84 | $354.81 | $758.58 |
BCBS North Dakota Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $1,230.27 | Facility | None | $316.23 | $316.23 | $1,230.27 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $537.03 Median $676.08 Typical High $794.33 | Professional | None (both parts) | $537.03 | $676.08 | $794.33 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $102.33 Typical High $123.03 | Professional | 26 · Professional part | $81.28 | $102.33 | $123.03 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $562.34 Typical High $676.08 | Professional | TC · Technical part | $457.09 | $562.34 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $489.78 Typical High $851.14 | Professional | None (both parts) | $281.84 | $489.78 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $45.71 | $89.13 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $416.87 Typical High $724.44 | Professional | TC · Technical part | $234.42 | $416.87 | $724.44 |
Medica Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $1,071.52 | Facility | None | $354.81 | $354.81 | $1,071.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $354.81 Median $676.08 Typical High $2,137.96 | Professional | None (both parts) | $354.81 | $676.08 | $2,137.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $95.50 Typical High $346.74 | Professional | 26 · Professional part | $51.29 | $95.50 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $588.84 Typical High $1,819.70 | Professional | TC · Technical part | $309.03 | $588.84 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $645.65 Typical High $812.83 | Professional | None (both parts) | $323.59 | $645.65 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $51.29 | $91.20 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $562.34 Typical High $691.83 | Professional | TC · Technical part | $269.15 | $562.34 | $691.83 |
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 $645.65 Median $794.33 Typical High $954.99 | Professional | 22 · Increased work | $645.65 | $794.33 | $954.99 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $107.15 Median $134.90 Typical High $162.18 | Professional | 55 · Aftercare only | $107.15 | $134.90 | $162.18 |
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· 7th of 51
$631
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.