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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $239.88 Typical High $676.08 | Professional | None (both parts) | $190.55 | $239.88 | $676.08 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $549.54 | Professional | None (both parts) | $371.54 | $457.09 | $549.54 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $112.20 | Professional | 26 · Professional part | $75.86 | $93.33 | $112.20 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $363.08 Typical High $436.52 | Professional | TC · Technical part | $295.12 | $363.08 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $389.05 Typical High $562.34 | Professional | None (both parts) | $190.55 | $389.05 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $81.28 Typical High $109.65 | Professional | 26 · Professional part | $41.69 | $81.28 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $302.00 Typical High $457.09 | Professional | TC · Technical part | $151.36 | $302.00 | $457.09 |
Medica Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $707.95 | Facility | None | $239.88 | $239.88 | $707.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $457.09 Typical High $1,584.89 | Professional | None (both parts) | $239.88 | $457.09 | $1,584.89 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $89.13 Typical High $467.74 | Professional | 26 · Professional part | $47.86 | $89.13 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $371.54 Typical High $1,148.15 | Professional | TC · Technical part | $190.55 | $371.54 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $436.52 Typical High $537.03 | Professional | None (both parts) | $239.88 | $436.52 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $85.11 Typical High $112.20 | Professional | 26 · Professional part | $47.86 | $85.11 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $354.81 Typical High $436.52 | Professional | TC · Technical part | $190.55 | $354.81 | $436.52 |
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 $446.68 Median $549.54 Typical High $660.69 | Professional | 22 · Increased work | $446.68 | $549.54 | $660.69 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $74.13 Median $91.20 Typical High $109.65 | Professional | 55 · Aftercare only | $74.13 | $91.20 | $109.65 |
Where North Dakota sits
The same service costs 3.8 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· 7th of 51
$437
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.