How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $478.63 Median $3,235.94 Typical High $4,073.80 | Facility | None | $478.63 | $3,235.94 | $4,073.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $489.78 Typical High $1,047.13 | Professional | None (both parts) | $389.05 | $489.78 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $190.55 | Professional | 26 · Professional part | $67.61 | $79.43 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $407.38 Typical High $851.14 | Professional | TC · Technical part | $323.59 | $407.38 | $851.14 |
BCBS North Dakota Setting Facility Modifier None Typical Low $891.25 Median $1,698.24 Typical High $2,511.89 | Facility | None | $891.25 | $1,698.24 | $2,511.89 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $758.58 Median $912.01 Typical High $1,096.48 | Professional | None (both parts) | $758.58 | $912.01 | $1,096.48 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $158.49 Typical High $190.55 | Professional | 26 · Professional part | $131.83 | $158.49 | $190.55 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $741.31 Typical High $912.01 | Professional | TC · Technical part | $616.60 | $741.31 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $758.58 Typical High $1,148.15 | Professional | None (both parts) | $389.05 | $758.58 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $141.25 Typical High $186.21 | Professional | 26 · Professional part | $72.44 | $141.25 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $616.60 Typical High $954.99 | Professional | TC · Technical part | $316.23 | $616.60 | $954.99 |
Medica Setting Facility Modifier None Typical Low $478.63 Median $812.83 Typical High $1,621.81 | Facility | None | $478.63 | $812.83 | $1,621.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $489.78 Median $954.99 Typical High $2,884.03 | Professional | None (both parts) | $489.78 | $954.99 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $151.36 Typical High $478.63 | Professional | 26 · Professional part | $81.28 | $151.36 | $478.63 |
Medica Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $776.25 Typical High $2,398.83 | Professional | TC · Technical part | $407.38 | $776.25 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $891.25 Typical High $1,230.27 | Professional | None (both parts) | $489.78 | $891.25 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $144.54 Typical High $204.17 | Professional | 26 · Professional part | $81.28 | $144.54 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $741.31 Typical High $954.99 | Professional | TC · Technical part | $407.38 | $741.31 | $954.99 |
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 $912.01 Median $1,096.48 Typical High $1,318.26 | Professional | 22 · Increased work | $912.01 | $1,096.48 | $1,318.26 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $181.97 Typical High $218.78 | Professional | 55 · Aftercare only | $151.36 | $181.97 | $218.78 |
Where North Dakota sits
The same service costs 6.3 times more in Minnesota 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· 7th of 51
$933
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.