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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,000.00 Typical High $1,584.89 | Professional | None (both parts) | $426.58 | $1,000.00 | $1,584.89 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $1,513.56 Median $1,949.84 Typical High $2,344.23 | Professional | None (both parts) | $1,513.56 | $1,949.84 | $2,344.23 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $154.88 Typical High $186.21 | Professional | 26 · Professional part | $125.89 | $154.88 | $186.21 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,819.70 Typical High $2,137.96 | Professional | TC · Technical part | $1,380.38 | $1,819.70 | $2,137.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,380.38 Typical High $2,818.38 | Professional | None (both parts) | $426.58 | $1,380.38 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $134.90 Typical High $181.97 | Professional | 26 · Professional part | $63.10 | $134.90 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $1,174.90 Typical High $2,630.27 | Professional | TC · Technical part | $295.12 | $1,174.90 | $2,630.27 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $3,019.95 | Facility | None | $1,000.00 | $1,000.00 | $3,019.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $2,290.87 Typical High $10,000.00 | Professional | None (both parts) | $1,288.25 | $2,290.87 | $10,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $141.25 Typical High $3,162.28 | Professional | 26 · Professional part | $74.13 | $141.25 | $3,162.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $2,290.87 Typical High $7,244.36 | Professional | TC · Technical part | $1,202.26 | $2,290.87 | $7,244.36 |
United Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $2,290.87 Typical High $3,548.13 | Professional | None (both parts) | $1,288.25 | $2,290.87 | $3,548.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $134.90 Typical High $190.55 | Professional | 26 · Professional part | $74.13 | $134.90 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $2,137.96 Typical High $3,311.31 | Professional | TC · Technical part | $1,202.26 | $2,137.96 | $3,311.31 |
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 $1,819.70 Median $2,344.23 Typical High $2,754.23 | Professional | 22 · Increased work | $1,819.70 | $2,344.23 | $2,754.23 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $302.00 Median $389.05 Typical High $467.74 | Professional | 55 · Aftercare only | $302.00 | $389.05 | $467.74 |
Where North Dakota sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 9th of 51
$1,950
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.