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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $173.78 | Professional | None (both parts) | $138.04 | $162.18 | $173.78 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $407.38 | Professional | None (both parts) | $269.15 | $338.84 | $407.38 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $44.67 Typical High $53.70 | Professional | 26 · Professional part | $35.48 | $44.67 | $53.70 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $295.12 Typical High $354.81 | Professional | TC · Technical part | $234.42 | $295.12 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $141.25 | $251.19 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $38.90 Typical High $51.29 | Professional | 26 · Professional part | $19.50 | $38.90 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $120.23 | $218.78 | $371.54 |
Medica Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $524.81 | Facility | None | $173.78 | $173.78 | $524.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $177.83 Median $338.84 Typical High $1,047.13 | Professional | None (both parts) | $177.83 | $338.84 | $1,047.13 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $42.66 Typical High $302.00 | Professional | 26 · Professional part | $22.39 | $42.66 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $295.12 Typical High $912.01 | Professional | TC · Technical part | $154.88 | $295.12 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $323.59 Typical High $398.11 | Professional | None (both parts) | $173.78 | $323.59 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $39.81 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $281.84 Typical High $346.74 | Professional | TC · Technical part | $151.36 | $281.84 | $346.74 |
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 $323.59 Median $407.38 Typical High $489.78 | Professional | 22 · Increased work | $323.59 | $407.38 | $489.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $53.70 Median $67.61 Typical High $81.28 | Professional | 55 · Aftercare only | $53.70 | $67.61 | $81.28 |
Where North Dakota sits
The same service costs 4.4 times more in Alaska 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· 8th of 51
$309
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.