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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $660.69 | Professional | None (both parts) | $181.97 | $234.42 | $660.69 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $363.08 Median $446.68 Typical High $537.03 | Professional | None (both parts) | $363.08 | $446.68 | $537.03 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $117.49 | Professional | 26 · Professional part | $79.43 | $97.72 | $117.49 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $346.74 Typical High $416.87 | Professional | TC · Technical part | $288.40 | $346.74 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $186.21 | $398.11 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $85.11 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $316.23 Typical High $436.52 | Professional | TC · Technical part | $144.54 | $316.23 | $436.52 |
Medica Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $707.95 | Facility | None | $234.42 | $234.42 | $707.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $234.42 Median $467.74 Typical High $1,479.11 | Professional | None (both parts) | $234.42 | $467.74 | $1,479.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $91.20 Typical High $501.19 | Professional | 26 · Professional part | $48.98 | $91.20 | $501.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $363.08 Typical High $1,230.27 | Professional | TC · Technical part | $186.21 | $363.08 | $1,230.27 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $426.58 Typical High $549.54 | Professional | None (both parts) | $234.42 | $426.58 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $48.98 | $87.10 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $338.84 Typical High $426.58 | Professional | TC · Technical part | $186.21 | $338.84 | $426.58 |
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 $436.52 Median $537.03 Typical High $645.65 | Professional | 22 · Increased work | $436.52 | $537.03 | $645.65 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $72.44 Median $89.13 Typical High $107.15 | Professional | 55 · Aftercare only | $72.44 | $89.13 | $107.15 |
Where North Dakota sits
The same service costs 3.5 times more in Wisconsin 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
$427
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.