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 $223.87 Typical High $257.04 | Professional | None (both parts) | $177.83 | $223.87 | $257.04 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $389.05 Median $457.09 Typical High $562.34 | Professional | None (both parts) | $389.05 | $457.09 | $562.34 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $57.54 Typical High $69.18 | Professional | 26 · Professional part | $47.86 | $57.54 | $69.18 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $501.19 | Professional | TC · Technical part | $338.84 | $398.11 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $346.74 Typical High $562.34 | Professional | None (both parts) | $186.21 | $346.74 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $51.29 Typical High $67.61 | Professional | 26 · Professional part | $25.12 | $51.29 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $295.12 Typical High $501.19 | Professional | TC · Technical part | $141.25 | $295.12 | $501.19 |
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 $426.58 Typical High $1,348.96 | Professional | None (both parts) | $223.87 | $426.58 | $1,348.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $52.48 Typical High $269.15 | Professional | 26 · Professional part | $27.54 | $52.48 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $380.19 Typical High $1,174.90 | Professional | TC · Technical part | $194.98 | $380.19 | $1,174.90 |
United Setting Professional Modifier None (both parts) Typical Low $190.55 Median $407.38 Typical High $501.19 | Professional | None (both parts) | $190.55 | $407.38 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $50.12 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $50.12 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $354.81 Typical High $446.68 | Professional | TC · Technical part | $165.96 | $354.81 | $446.68 |
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 $467.74 Median $549.54 Typical High $676.08 | Professional | 22 · Increased work | $467.74 | $549.54 | $676.08 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $77.62 Median $91.20 Typical High $112.20 | Professional | 55 · Aftercare only | $77.62 | $91.20 | $112.20 |
Where North Dakota sits
The same service costs 4.8 times more in Alaska than in Indiana. 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
$427
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.