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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $147.91 | $173.78 | $190.55 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $295.12 Median $354.81 Typical High $426.58 | Professional | None (both parts) | $295.12 | $354.81 | $426.58 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $35.48 | $43.65 | $52.48 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $316.23 Typical High $380.19 | Professional | TC · Technical part | $257.04 | $316.23 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $147.91 | $269.15 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $38.02 Typical High $51.29 | Professional | 26 · Professional part | $19.50 | $38.02 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $239.88 Typical High $398.11 | Professional | TC · Technical part | $128.82 | $239.88 | $398.11 |
Medica Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $562.34 | Facility | None | $190.55 | $190.55 | $562.34 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $363.08 Typical High $1,122.02 | Professional | None (both parts) | $190.55 | $363.08 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $42.66 Typical High $208.93 | Professional | 26 · Professional part | $22.39 | $42.66 | $208.93 |
Medica Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $323.59 Typical High $1,000.00 | Professional | TC · Technical part | $165.96 | $323.59 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $346.74 Typical High $426.58 | Professional | None (both parts) | $169.82 | $346.74 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $40.74 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $40.74 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $309.03 Typical High $380.19 | Professional | TC · Technical part | $147.91 | $309.03 | $380.19 |
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 $354.81 Median $426.58 Typical High $512.86 | Professional | 22 · Increased work | $354.81 | $426.58 | $512.86 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $72.44 Typical High $85.11 | Professional | 55 · Aftercare only | $58.88 | $72.44 | $85.11 |
Where North Dakota sits
The same service costs 4.7 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· 8th of 51
$347
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.