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 $245.47 Median $245.47 Typical High $245.47 | Facility | None | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $194.98 | $223.87 | $245.47 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $389.05 Median $467.74 Typical High $562.34 | Professional | None (both parts) | $389.05 | $467.74 | $562.34 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $144.54 Typical High $173.78 | Professional | 26 · Professional part | $117.49 | $144.54 | $173.78 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $323.59 Typical High $389.05 | Professional | TC · Technical part | $269.15 | $323.59 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $199.53 | $416.87 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $64.57 | $125.89 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $288.40 Typical High $457.09 | Professional | TC · Technical part | $134.90 | $288.40 | $457.09 |
Medica Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $741.31 | Facility | None | $245.47 | $245.47 | $741.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $251.19 Median $489.78 Typical High $3,311.31 | Professional | None (both parts) | $251.19 | $489.78 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $138.04 Typical High $1,096.48 | Professional | 26 · Professional part | $72.44 | $138.04 | $1,096.48 |
Medica Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $338.84 Typical High $2,290.87 | Professional | TC · Technical part | $173.78 | $338.84 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $457.09 Typical High $645.65 | Professional | None (both parts) | $251.19 | $457.09 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $128.82 Typical High $186.21 | Professional | 26 · Professional part | $72.44 | $128.82 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $323.59 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $323.59 | $457.09 |
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 $467.74 Median $562.34 Typical High $676.08 | Professional | 22 · Increased work | $467.74 | $562.34 | $676.08 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $93.33 Typical High $112.20 | Professional | 55 · Aftercare only | $77.62 | $93.33 | $112.20 |
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· 6th of 51
$457
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.