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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $295.12 Typical High $831.76 | Professional | None (both parts) | $239.88 | $295.12 | $831.76 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $467.74 Median $562.34 Typical High $691.83 | Professional | None (both parts) | $467.74 | $562.34 | $691.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $144.54 Typical High $173.78 | Professional | 26 · Professional part | $120.23 | $144.54 | $173.78 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $416.87 Typical High $512.86 | Professional | TC · Technical part | $346.74 | $416.87 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $501.19 Typical High $707.95 | Professional | None (both parts) | $239.88 | $501.19 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $128.82 Typical High $169.82 | Professional | 26 · Professional part | $64.57 | $128.82 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $380.19 Typical High $549.54 | Professional | TC · Technical part | $177.83 | $380.19 | $549.54 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $891.25 | Facility | None | $295.12 | $295.12 | $891.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $588.84 Typical High $2,238.72 | Professional | None (both parts) | $295.12 | $588.84 | $2,238.72 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $134.90 Typical High $912.01 | Professional | 26 · Professional part | $72.44 | $134.90 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $436.52 Typical High $1,819.70 | Professional | TC · Technical part | $223.87 | $436.52 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $537.03 Typical High $741.31 | Professional | None (both parts) | $295.12 | $537.03 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $128.82 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $416.87 Typical High $562.34 | Professional | TC · Technical part | $223.87 | $416.87 | $562.34 |
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 $562.34 Median $676.08 Typical High $831.76 | Professional | 22 · Increased work | $562.34 | $676.08 | $831.76 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $112.20 Typical High $138.04 | Professional | 55 · Aftercare only | $93.33 | $112.20 | $138.04 |
Where North Dakota sits
The same service costs 5.1 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· 9th of 51
$537
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.