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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $42.66 Typical High $43.65 | Professional | None (both parts) | $35.48 | $42.66 | $43.65 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $74.13 Median $89.13 Typical High $109.65 | Professional | None (both parts) | $74.13 | $89.13 | $109.65 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $40.74 | $47.86 | $58.88 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $50.12 | Professional | TC · Technical part | $33.88 | $40.74 | $50.12 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $77.62 Typical High $134.90 | Professional | None (both parts) | $38.90 | $77.62 | $134.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $41.69 Typical High $56.23 | Professional | 26 · Professional part | $22.39 | $41.69 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $36.31 Typical High $64.57 | Professional | TC · Technical part | $16.60 | $36.31 | $64.57 |
Medica Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $131.83 | Facility | None | $43.65 | $43.65 | $131.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $44.67 Median $91.20 Typical High $1,698.24 | Professional | None (both parts) | $44.67 | $91.20 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $46.77 Typical High $218.78 | Professional | 26 · Professional part | $25.12 | $46.77 | $218.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $41.69 Typical High $1,548.82 | Professional | TC · Technical part | $19.50 | $41.69 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $85.11 Typical High $190.55 | Professional | None (both parts) | $44.67 | $85.11 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $25.12 | $43.65 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $38.90 Typical High $165.96 | Professional | TC · Technical part | $19.50 | $38.90 | $165.96 |
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 $89.13 Median $107.15 Typical High $131.83 | Professional | 22 · Increased work | $89.13 | $107.15 | $131.83 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $17.78 Typical High $21.88 | Professional | 55 · Aftercare only | $14.79 | $17.78 | $21.88 |
Where North Dakota sits
The same service costs 7.2 times more in Alabama than in Florida. 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· 15th of 51
$85.11
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.