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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $213.80 Typical High $223.87 | Professional | None (both parts) | $177.83 | $213.80 | $223.87 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $354.81 Median $446.68 Typical High $537.03 | Professional | None (both parts) | $354.81 | $446.68 | $537.03 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $50.12 Typical High $58.88 | Professional | 26 · Professional part | $40.74 | $50.12 | $58.88 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $389.05 Typical High $467.74 | Professional | TC · Technical part | $316.23 | $389.05 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $186.21 | $331.13 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $42.66 Typical High $57.54 | Professional | 26 · Professional part | $21.88 | $42.66 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $295.12 Typical High $467.74 | Professional | TC · Technical part | $162.18 | $295.12 | $467.74 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $676.08 | Facility | None | $223.87 | $223.87 | $676.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $416.87 Typical High $1,348.96 | Professional | None (both parts) | $223.87 | $416.87 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $44.67 Typical High $331.13 | Professional | 26 · Professional part | $24.55 | $44.67 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $371.54 Typical High $1,202.26 | Professional | TC · Technical part | $199.53 | $371.54 | $1,202.26 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $398.11 Typical High $512.86 | Professional | None (both parts) | $204.17 | $398.11 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $42.66 Typical High $57.54 | Professional | 26 · Professional part | $24.55 | $42.66 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $354.81 Typical High $457.09 | Professional | TC · Technical part | $181.97 | $354.81 | $457.09 |
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 $426.58 Median $537.03 Typical High $630.96 | Professional | 22 · Increased work | $426.58 | $537.03 | $630.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $70.79 Median $89.13 Typical High $107.15 | Professional | 55 · Aftercare only | $70.79 | $89.13 | $107.15 |
Where North Dakota sits
The same service costs 4.8 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· 8th of 51
$407
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.