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 $1,000.00 Median $1,288.25 Typical High $1,995.26 | Professional | None (both parts) | $1,000.00 | $1,288.25 | $1,995.26 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,187.76 Typical High $2,570.40 | Professional | None (both parts) | $1,698.24 | $2,187.76 | $2,570.40 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $177.83 Typical High $213.80 | Professional | 26 · Professional part | $144.54 | $177.83 | $213.80 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,995.26 Typical High $2,398.83 | Professional | TC · Technical part | $1,548.82 | $1,995.26 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,698.24 Typical High $2,818.38 | Professional | None (both parts) | $524.81 | $1,698.24 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $154.88 Typical High $208.93 | Professional | 26 · Professional part | $72.44 | $154.88 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $1,445.44 Typical High $2,691.53 | Professional | TC · Technical part | $371.54 | $1,445.44 | $2,691.53 |
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 $2,630.27 Typical High $10,000.00 | Professional | None (both parts) | $1,288.25 | $2,630.27 | $10,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $169.82 Typical High $2,691.53 | Professional | 26 · Professional part | $85.11 | $169.82 | $2,691.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $2,454.71 Typical High $7,244.36 | Professional | TC · Technical part | $1,380.38 | $2,454.71 | $7,244.36 |
United Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $2,511.89 Typical High $3,467.37 | Professional | None (both parts) | $1,288.25 | $2,511.89 | $3,467.37 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $162.18 Typical High $229.09 | Professional | 26 · Professional part | $85.11 | $162.18 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $2,398.83 Typical High $3,311.31 | Professional | TC · Technical part | $1,230.27 | $2,398.83 | $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 $2,041.74 Median $2,630.27 Typical High $3,090.30 | Professional | 22 · Increased work | $2,041.74 | $2,630.27 | $3,090.30 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $436.52 Typical High $512.86 | Professional | 55 · Aftercare only | $338.84 | $436.52 | $512.86 |
Where North Dakota sits
The same service costs 15.1 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· 8th of 51
$2,138
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.