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 $309.03 Median $309.03 Typical High $309.03 | Facility | None | $309.03 | $309.03 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $851.14 | Professional | None (both parts) | $251.19 | $275.42 | $851.14 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $467.74 Median $575.44 Typical High $691.83 | Professional | None (both parts) | $467.74 | $575.44 | $691.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $97.72 | Professional | 26 · Professional part | $66.07 | $81.28 | $97.72 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $501.19 Typical High $602.56 | Professional | TC · Technical part | $398.11 | $501.19 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $524.81 Typical High $724.44 | Professional | None (both parts) | $245.47 | $524.81 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $72.44 Typical High $97.72 | Professional | 26 · Professional part | $37.15 | $72.44 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $446.68 Typical High $630.96 | Professional | TC · Technical part | $208.93 | $446.68 | $630.96 |
Medica Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $933.25 | Facility | None | $309.03 | $309.03 | $933.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $602.56 Typical High $1,862.09 | Professional | None (both parts) | $316.23 | $602.56 | $1,862.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $79.43 Typical High $245.47 | Professional | 26 · Professional part | $41.69 | $79.43 | $245.47 |
Medica Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $524.81 Typical High $1,621.81 | Professional | TC · Technical part | $269.15 | $524.81 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $575.44 Typical High $707.95 | Professional | None (both parts) | $316.23 | $575.44 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $75.86 Typical High $100.00 | Professional | 26 · Professional part | $41.69 | $75.86 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $501.19 Typical High $616.60 | Professional | TC · Technical part | $269.15 | $501.19 | $616.60 |
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 $691.83 Typical High $831.76 | Professional | 22 · Increased work | $562.34 | $691.83 | $831.76 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $93.33 Median $114.82 Typical High $138.04 | Professional | 55 · Aftercare only | $93.33 | $114.82 | $138.04 |
Where North Dakota sits
The same service costs 4.4 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· 7th of 51
$550
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.