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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $112.20 | Professional | None (both parts) | $91.20 | $100.00 | $112.20 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $173.78 Median $208.93 Typical High $257.04 | Professional | None (both parts) | $173.78 | $208.93 | $257.04 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $30.20 | $36.31 | $43.65 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $213.80 | Professional | TC · Technical part | $144.54 | $173.78 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $87.10 | $165.96 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $30.90 Typical High $42.66 | Professional | 26 · Professional part | $16.22 | $30.90 | $42.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $134.90 Typical High $218.78 | Professional | TC · Technical part | $70.79 | $134.90 | $218.78 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $331.13 | Facility | None | $112.20 | $112.20 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $208.93 Typical High $1,122.02 | Professional | None (both parts) | $112.20 | $208.93 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $34.67 Typical High $338.84 | Professional | 26 · Professional part | $18.62 | $34.67 | $338.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $173.78 Typical High $794.33 | Professional | TC · Technical part | $93.33 | $173.78 | $794.33 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $102.33 | $199.53 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $33.11 Typical High $43.65 | Professional | 26 · Professional part | $18.62 | $33.11 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $162.18 Typical High $213.80 | Professional | TC · Technical part | $85.11 | $162.18 | $213.80 |
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 $208.93 Median $251.19 Typical High $309.03 | Professional | 22 · Increased work | $208.93 | $251.19 | $309.03 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $41.69 Typical High $51.29 | Professional | 55 · Aftercare only | $34.67 | $41.69 | $51.29 |
Where North Dakota sits
The same service costs 5.5 times more in Alabama 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
$200
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.