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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $870.96 | Professional | None (both parts) | $257.04 | $323.59 | $870.96 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $478.63 Median $588.84 Typical High $707.95 | Professional | None (both parts) | $478.63 | $588.84 | $707.95 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $95.50 | Professional | 26 · Professional part | $63.10 | $79.43 | $95.50 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $512.86 Typical High $616.60 | Professional | TC · Technical part | $416.87 | $512.86 | $616.60 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $457.09 Typical High $741.31 | Professional | None (both parts) | $251.19 | $457.09 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $69.18 Typical High $95.50 | Professional | 26 · Professional part | $35.48 | $69.18 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $389.05 Typical High $645.65 | Professional | TC · Technical part | $213.80 | $389.05 | $645.65 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $954.99 | Facility | None | $323.59 | $323.59 | $954.99 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $630.96 Typical High $1,905.46 | Professional | None (both parts) | $323.59 | $630.96 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $79.43 Typical High $407.38 | Professional | 26 · Professional part | $38.90 | $79.43 | $407.38 |
Medica Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $562.34 Typical High $1,659.59 | Professional | TC · Technical part | $281.84 | $562.34 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $602.56 Typical High $724.44 | Professional | None (both parts) | $323.59 | $602.56 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $74.13 Typical High $100.00 | Professional | 26 · Professional part | $38.90 | $74.13 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $537.03 Typical High $645.65 | Professional | TC · Technical part | $275.42 | $537.03 | $645.65 |
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 $575.44 Median $707.95 Typical High $851.14 | Professional | 22 · Increased work | $575.44 | $707.95 | $851.14 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $95.50 Median $117.49 Typical High $141.25 | Professional | 55 · Aftercare only | $95.50 | $117.49 | $141.25 |
Where North Dakota sits
The same service costs 3.7 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
$562
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.