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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $977.24 | Professional | None (both parts) | $281.84 | $346.74 | $977.24 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $549.54 Median $660.69 Typical High $794.33 | Professional | None (both parts) | $549.54 | $660.69 | $794.33 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $134.90 Typical High $162.18 | Professional | 26 · Professional part | $112.20 | $134.90 | $162.18 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $524.81 Typical High $630.96 | Professional | TC · Technical part | $436.52 | $524.81 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $537.03 Typical High $831.76 | Professional | None (both parts) | $281.84 | $537.03 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $117.49 Typical High $158.49 | Professional | 26 · Professional part | $60.26 | $117.49 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $426.58 Typical High $660.69 | Professional | TC · Technical part | $218.78 | $426.58 | $660.69 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $1,047.13 | Facility | None | $346.74 | $346.74 | $1,047.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $691.83 Typical High $2,089.30 | Professional | None (both parts) | $346.74 | $691.83 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $128.82 Typical High $407.38 | Professional | 26 · Professional part | $69.18 | $128.82 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $549.54 Typical High $1,659.59 | Professional | TC · Technical part | $281.84 | $549.54 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $630.96 Typical High $794.33 | Professional | None (both parts) | $346.74 | $630.96 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $123.03 Typical High $173.78 | Professional | 26 · Professional part | $69.18 | $123.03 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $512.86 Typical High $630.96 | Professional | TC · Technical part | $281.84 | $512.86 | $630.96 |
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 $660.69 Median $794.33 Typical High $954.99 | Professional | 22 · Increased work | $660.69 | $794.33 | $954.99 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $109.65 Median $131.83 Typical High $158.49 | Professional | 55 · Aftercare only | $109.65 | $131.83 | $158.49 |
Where North Dakota sits
The same service costs 3.6 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· 8th 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.