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 $20.89 Median $20.89 Typical High $52.48 | Facility | None | $20.89 | $20.89 | $52.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $28.84 Typical High $52.48 | Professional | None (both parts) | $20.89 | $28.84 | $52.48 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $51.29 Median $64.57 Typical High $77.62 | Professional | None (both parts) | $51.29 | $64.57 | $77.62 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $54.95 | Professional | 26 · Professional part | $35.48 | $45.71 | $54.95 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.05 Typical High $23.44 | Professional | TC · Technical part | $15.14 | $19.05 | $23.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $45.71 | Professional | None (both parts) | $37.15 | $37.15 | $45.71 |
Medica Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $104.71 | Facility | None | $20.89 | $20.89 | $104.71 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $66.07 Typical High $181.97 | Professional | None (both parts) | $61.66 | $66.07 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $63.10 Typical High $66.07 | Professional | None (both parts) | $30.90 | $63.10 | $66.07 |
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 $61.66 Median $77.62 Typical High $93.33 | Professional | 22 · Increased work | $61.66 | $77.62 | $93.33 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $10.23 Median $13.18 Typical High $15.49 | Professional | 55 · Aftercare only | $10.23 | $13.18 | $15.49 |
Where North Dakota sits
The same service costs 3.8 times more in Wyoming than in Nevada. 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· 5th of 51
$51.29
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.