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 $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $676.08 Typical High $1,819.70 | Professional | None (both parts) | $537.03 | $676.08 | $1,819.70 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,230.27 Typical High $1,479.11 | Professional | None (both parts) | $977.24 | $1,230.27 | $1,479.11 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $120.23 | Professional | 26 · Professional part | $79.43 | $100.00 | $120.23 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,122.02 Typical High $1,348.96 | Professional | TC · Technical part | $912.01 | $1,122.02 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $912.01 Typical High $1,380.38 | Professional | None (both parts) | $512.86 | $912.01 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $44.67 | $87.10 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $831.76 Typical High $1,288.25 | Professional | TC · Technical part | $446.68 | $831.76 | $1,288.25 |
Medica Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $2,041.74 | Facility | None | $676.08 | $676.08 | $2,041.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,174.90 Typical High $3,981.07 | Professional | None (both parts) | $676.08 | $1,174.90 | $3,981.07 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $100.00 Typical High $457.09 | Professional | 26 · Professional part | $50.12 | $100.00 | $457.09 |
Medica Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $1,071.52 Typical High $3,715.35 | Professional | TC · Technical part | $588.84 | $1,071.52 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $575.44 Median $1,122.02 Typical High $1,548.82 | Professional | None (both parts) | $575.44 | $1,122.02 | $1,548.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $50.12 | $93.33 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $537.03 Median $1,023.29 Typical High $1,445.44 | Professional | TC · Technical part | $537.03 | $1,023.29 | $1,445.44 |
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 $1,174.90 Median $1,479.11 Typical High $1,778.28 | Professional | 22 · Increased work | $1,174.90 | $1,479.11 | $1,778.28 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $245.47 Typical High $295.12 | Professional | 55 · Aftercare only | $199.53 | $245.47 | $295.12 |
Where North Dakota sits
The same service costs 4.4 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· 9th of 51
$1,122
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.