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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $199.53 | Professional | None (both parts) | $158.49 | $186.21 | $199.53 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $323.59 Median $389.05 Typical High $467.74 | Professional | None (both parts) | $323.59 | $389.05 | $467.74 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $95.50 | Professional | 26 · Professional part | $64.57 | $79.43 | $95.50 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $380.19 | Professional | TC · Technical part | $257.04 | $309.03 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $323.59 Typical High $489.78 | Professional | None (both parts) | $162.18 | $323.59 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $35.48 | $69.18 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $245.47 Typical High $389.05 | Professional | TC · Technical part | $128.82 | $245.47 | $389.05 |
Medica Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $588.84 | Facility | None | $199.53 | $199.53 | $588.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $398.11 Typical High $1,318.26 | Professional | None (both parts) | $199.53 | $398.11 | $1,318.26 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $74.13 Typical High $436.52 | Professional | 26 · Professional part | $39.81 | $74.13 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $309.03 Typical High $977.24 | Professional | TC · Technical part | $158.49 | $309.03 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $363.08 Typical High $478.63 | Professional | None (both parts) | $199.53 | $363.08 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $70.79 Typical High $97.72 | Professional | 26 · Professional part | $39.81 | $70.79 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $295.12 Typical High $371.54 | Professional | TC · Technical part | $158.49 | $295.12 | $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 $467.74 Typical High $562.34 | Professional | 22 · Increased work | $389.05 | $467.74 | $562.34 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $64.57 Median $77.62 Typical High $93.33 | Professional | 55 · Aftercare only | $64.57 | $77.62 | $93.33 |
Where North Dakota sits
The same service costs 4.7 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· 8th of 51
$363
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.