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 $181.97 Median $181.97 Typical High $1,348.96 | Facility | None | $181.97 | $181.97 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $436.52 | Professional | None (both parts) | $151.36 | $181.97 | $436.52 |
BCBS North Dakota Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $302.00 Median $380.19 Typical High $457.09 | Professional | None (both parts) | $302.00 | $380.19 | $457.09 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $144.54 | Professional | 26 · Professional part | $95.50 | $120.23 | $144.54 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $257.04 Typical High $309.03 | Professional | TC · Technical part | $208.93 | $257.04 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $338.84 Typical High $426.58 | Professional | None (both parts) | $158.49 | $338.84 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $104.71 Typical High $138.04 | Professional | 26 · Professional part | $53.70 | $104.71 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $104.71 | $218.78 | $302.00 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $1,288.25 | Facility | None | $181.97 | $251.19 | $1,288.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $181.97 Median $363.08 Typical High $1,819.70 | Professional | None (both parts) | $181.97 | $363.08 | $1,819.70 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $112.20 Typical High $537.03 | Professional | 26 · Professional part | $60.26 | $112.20 | $537.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $234.42 Typical High $1,258.93 | Professional | TC · Technical part | $123.03 | $234.42 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $181.97 Median $331.13 Typical High $416.87 | Professional | None (both parts) | $181.97 | $331.13 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $107.15 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $107.15 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $218.78 Typical High $275.42 | Professional | TC · Technical part | $123.03 | $218.78 | $275.42 |
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 $363.08 Median $457.09 Typical High $549.54 | Professional | 22 · Increased work | $363.08 | $457.09 | $549.54 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $75.86 Typical High $91.20 | Professional | 55 · Aftercare only | $60.26 | $75.86 | $91.20 |
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
$347
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.