How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $47.86 Median $117.49 Typical High $239.88 | Facility | None | $47.86 | $117.49 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $91.20 Typical High $295.12 | Professional | None (both parts) | $47.86 | $91.20 | $295.12 |
BCBS North Dakota Setting Facility Modifier None Typical Low $93.33 Median $112.20 Typical High $223.87 | Facility | None | $93.33 | $112.20 | $223.87 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $114.82 Median $147.91 Typical High $177.83 | Professional | None (both parts) | $114.82 | $147.91 | $177.83 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $69.18 | Professional | 26 · Professional part | $45.71 | $58.88 | $69.18 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $89.13 Typical High $107.15 | Professional | TC · Technical part | $69.18 | $89.13 | $107.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $104.71 | Professional | None (both parts) | $85.11 | $85.11 | $104.71 |
Medica Setting Facility Modifier None Typical Low $47.86 Median $81.28 Typical High $144.54 | Facility | None | $47.86 | $81.28 | $144.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $645.65 | Professional | None (both parts) | $138.04 | $151.36 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $141.25 Typical High $151.36 | Professional | None (both parts) | $69.18 | $141.25 | $151.36 |
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 $138.04 Median $177.83 Typical High $213.80 | Professional | 22 · Increased work | $138.04 | $177.83 | $213.80 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $22.91 Median $29.51 Typical High $35.48 | Professional | 55 · Aftercare only | $22.91 | $29.51 | $35.48 |
Where North Dakota sits
The same service costs 3.6 times more in Wisconsin than in Alabama. 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· 4th of 51
$129
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.