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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $251.19 Typical High $281.84 | Professional | None (both parts) | $229.09 | $251.19 | $281.84 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $426.58 Median $524.81 Typical High $630.96 | Professional | None (both parts) | $426.58 | $524.81 | $630.96 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $61.66 | Professional | 26 · Professional part | $41.69 | $51.29 | $61.66 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $467.74 Typical High $575.44 | Professional | TC · Technical part | $389.05 | $467.74 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $223.87 | $398.11 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $23.44 | $44.67 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $363.08 Typical High $602.56 | Professional | TC · Technical part | $204.17 | $363.08 | $602.56 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $851.14 | Facility | None | $281.84 | $281.84 | $851.14 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $645.65 Typical High $1,698.24 | Professional | None (both parts) | $281.84 | $645.65 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $56.23 Typical High $371.54 | Professional | 26 · Professional part | $26.30 | $56.23 | $371.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $575.44 Typical High $1,548.82 | Professional | TC · Technical part | $257.04 | $575.44 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $630.96 Typical High $691.83 | Professional | None (both parts) | $281.84 | $630.96 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $53.70 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $575.44 Typical High $630.96 | Professional | TC · Technical part | $257.04 | $575.44 | $630.96 |
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 $512.86 Median $630.96 Typical High $758.58 | Professional | 22 · Increased work | $512.86 | $630.96 | $758.58 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $87.10 Median $104.71 Typical High $125.89 | Professional | 55 · Aftercare only | $87.10 | $104.71 | $125.89 |
Where North Dakota sits
The same service costs 4.3 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
$501
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.