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 $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $75.86 Typical High $77.62 | Professional | None (both parts) | $61.66 | $75.86 | $77.62 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $128.82 | $151.36 | $186.21 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $19.95 | Professional | 26 · Professional part | $13.49 | $15.85 | $19.95 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $169.82 | Professional | TC · Technical part | $114.82 | $134.90 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $128.82 Typical High $173.78 | Professional | None (both parts) | $60.26 | $128.82 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $13.80 Typical High $21.88 | Professional | 26 · Professional part | $7.08 | $13.80 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $107.15 Typical High $154.88 | Professional | TC · Technical part | $53.70 | $107.15 | $154.88 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $234.42 | Facility | None | $77.62 | $77.62 | $234.42 |
Medica Setting Professional Modifier None (both parts) Typical Low $77.62 Median $147.91 Typical High $501.19 | Professional | None (both parts) | $77.62 | $147.91 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $15.14 Typical High $154.88 | Professional | 26 · Professional part | $7.94 | $15.14 | $154.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $128.82 Typical High $416.87 | Professional | TC · Technical part | $70.79 | $128.82 | $416.87 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $134.90 Typical High $177.83 | Professional | None (both parts) | $77.62 | $134.90 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $14.13 Typical High $19.50 | Professional | 26 · Professional part | $7.94 | $14.13 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $123.03 Typical High $158.49 | Professional | TC · Technical part | $70.79 | $123.03 | $158.49 |
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 $154.88 Median $181.97 Typical High $223.87 | Professional | 22 · Increased work | $154.88 | $181.97 | $223.87 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $30.20 Typical High $38.02 | Professional | 55 · Aftercare only | $25.70 | $30.20 | $38.02 |
Where North Dakota sits
The same service costs 4.6 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
$141
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.