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 $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $954.99 | Professional | None (both parts) | $275.42 | $346.74 | $954.99 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $512.86 Median $645.65 Typical High $776.25 | Professional | None (both parts) | $512.86 | $645.65 | $776.25 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $67.61 Typical High $81.28 | Professional | 26 · Professional part | $53.70 | $67.61 | $81.28 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $588.84 Typical High $691.83 | Professional | TC · Technical part | $467.74 | $588.84 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $478.63 Typical High $812.83 | Professional | None (both parts) | $275.42 | $478.63 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $58.88 Typical High $77.62 | Professional | 26 · Professional part | $30.20 | $58.88 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $426.58 Typical High $741.31 | Professional | TC · Technical part | $239.88 | $426.58 | $741.31 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $1,047.13 | Facility | None | $346.74 | $346.74 | $1,047.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $660.69 Typical High $2,089.30 | Professional | None (both parts) | $346.74 | $660.69 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $64.57 Typical High $338.84 | Professional | 26 · Professional part | $34.67 | $64.57 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $602.56 Typical High $1,862.09 | Professional | TC · Technical part | $316.23 | $602.56 | $1,862.09 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $630.96 Typical High $794.33 | Professional | None (both parts) | $316.23 | $630.96 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $33.88 | $60.26 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $575.44 Typical High $707.95 | Professional | TC · Technical part | $275.42 | $575.44 | $707.95 |
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 $616.60 Median $776.25 Typical High $933.25 | Professional | 22 · Increased work | $616.60 | $776.25 | $933.25 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $104.71 Median $128.82 Typical High $154.88 | Professional | 55 · Aftercare only | $104.71 | $128.82 | $154.88 |
Where North Dakota sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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
$603
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.