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 $1,000.00 Median $1,000.00 Typical High $1,584.89 | Facility | None | $1,000.00 | $1,000.00 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,513.56 Typical High $2,187.76 | Professional | None (both parts) | $1,000.00 | $1,513.56 | $2,187.76 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $2,187.76 Typical High $2,630.27 | Professional | None (both parts) | $1,737.80 | $2,187.76 | $2,630.27 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $218.78 Typical High $257.04 | Professional | 26 · Professional part | $173.78 | $218.78 | $257.04 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,995.26 Typical High $2,398.83 | Professional | TC · Technical part | $1,548.82 | $1,995.26 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $2,511.89 Typical High $3,630.78 | Professional | None (both parts) | $851.14 | $2,511.89 | $3,630.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $186.21 Typical High $251.19 | Professional | 26 · Professional part | $87.10 | $186.21 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $2,344.23 Typical High $3,630.78 | Professional | TC · Technical part | $1,023.29 | $2,344.23 | $3,630.78 |
Medica Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $3,019.95 | Facility | None | $1,000.00 | $1,000.00 | $3,019.95 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,691.53 Typical High $7,079.46 | Professional | None (both parts) | $1,479.11 | $2,691.53 | $7,079.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $208.93 Typical High $1,202.26 | Professional | 26 · Professional part | $102.33 | $208.93 | $1,202.26 |
Medica Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $2,630.27 Typical High $6,025.60 | Professional | TC · Technical part | $1,380.38 | $2,630.27 | $6,025.60 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,691.53 Typical High $4,073.80 | Professional | None (both parts) | $1,479.11 | $2,691.53 | $4,073.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $194.98 Typical High $269.15 | Professional | 26 · Professional part | $102.33 | $194.98 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $2,454.71 Typical High $3,715.35 | Professional | TC · Technical part | $1,380.38 | $2,454.71 | $3,715.35 |
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 $2,041.74 Median $2,630.27 Typical High $3,162.28 | Professional | 22 · Increased work | $2,041.74 | $2,630.27 | $3,162.28 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $346.74 Median $436.52 Typical High $524.81 | Professional | 55 · Aftercare only | $346.74 | $436.52 | $524.81 |
Where North Dakota sits
The same service costs 16.6 times more in Alaska than in Washington. 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· 10th of 51
$2,239
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.