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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $165.96 | $194.98 | $208.93 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $323.59 Median $407.38 Typical High $489.78 | Professional | None (both parts) | $323.59 | $407.38 | $489.78 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $109.65 | Professional | 26 · Professional part | $74.13 | $91.20 | $109.65 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $316.23 Typical High $380.19 | Professional | TC · Technical part | $251.19 | $316.23 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $173.78 | $323.59 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $79.43 Typical High $104.71 | Professional | 26 · Professional part | $40.74 | $79.43 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $245.47 Typical High $363.08 | Professional | TC · Technical part | $131.83 | $245.47 | $363.08 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $630.96 | Facility | None | $208.93 | $208.93 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $416.87 Typical High $1,479.11 | Professional | None (both parts) | $213.80 | $416.87 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $87.10 Typical High $489.78 | Professional | 26 · Professional part | $46.77 | $87.10 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $316.23 Typical High $1,047.13 | Professional | TC · Technical part | $165.96 | $316.23 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $380.19 Typical High $478.63 | Professional | None (both parts) | $213.80 | $380.19 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $81.28 Typical High $109.65 | Professional | 26 · Professional part | $45.71 | $81.28 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $302.00 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $302.00 | $371.54 |
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 $389.05 Median $489.78 Typical High $588.84 | Professional | 22 · Increased work | $389.05 | $489.78 | $588.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $66.07 Median $81.28 Typical High $97.72 | Professional | 55 · Aftercare only | $66.07 | $81.28 | $97.72 |
Where North Dakota sits
The same service costs 5.0 times more in Alaska than in Texas. 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
$380
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.