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 $138.04 Median $138.04 Typical High $213.80 | Facility | None | $138.04 | $138.04 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $338.84 | Professional | None (both parts) | $120.23 | $138.04 | $338.84 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $234.42 | $288.40 | $346.74 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $177.83 Typical High $213.80 | Professional | 26 · Professional part | $144.54 | $177.83 | $213.80 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $112.20 Typical High $134.90 | Professional | TC · Technical part | $89.13 | $112.20 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $218.78 Typical High $331.13 | Professional | None (both parts) | $138.04 | $218.78 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $134.90 Typical High $208.93 | Professional | 26 · Professional part | $89.13 | $134.90 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $51.29 | $93.33 | $138.04 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $138.04 Typical High $776.25 | Facility | None | $87.10 | $138.04 | $776.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $141.25 Median $275.42 Typical High $1,122.02 | Professional | None (both parts) | $141.25 | $275.42 | $1,122.02 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $169.82 Typical High $524.81 | Professional | 26 · Professional part | $89.13 | $169.82 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $95.50 Typical High $616.60 | Professional | TC · Technical part | $51.29 | $95.50 | $616.60 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $245.47 Typical High $331.13 | Professional | None (both parts) | $141.25 | $245.47 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $154.88 Typical High $208.93 | Professional | 26 · Professional part | $87.10 | $154.88 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $89.13 Typical High $120.23 | Professional | TC · Technical part | $51.29 | $89.13 | $120.23 |
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 $281.84 Median $346.74 Typical High $416.87 | Professional | 22 · Increased work | $281.84 | $346.74 | $416.87 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $57.54 Typical High $69.18 | Professional | 55 · Aftercare only | $46.77 | $57.54 | $69.18 |
Where North Dakota sits
The same service costs 4.2 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· 6th of 51
$263
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.