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 $97.72 Median $97.72 Typical High $147.91 | Facility | None | $97.72 | $97.72 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $147.91 | Professional | None (both parts) | $97.72 | $97.72 | $147.91 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $416.87 | Professional | None (both parts) | $263.03 | $338.84 | $416.87 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $95.50 | Professional | 26 · Professional part | $61.66 | $79.43 | $95.50 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $257.04 Typical High $323.59 | Professional | TC · Technical part | $199.53 | $257.04 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $199.53 | $199.53 | $251.19 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $295.12 | Facility | None | $97.72 | $97.72 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $1,348.96 | Professional | None (both parts) | $239.88 | $309.03 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $295.12 Typical High $316.23 | Professional | None (both parts) | $144.54 | $295.12 | $316.23 |
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 $316.23 Median $407.38 Typical High $501.19 | Professional | 22 · Increased work | $316.23 | $407.38 | $501.19 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $52.48 Median $67.61 Typical High $83.18 | Professional | 55 · Aftercare only | $52.48 | $67.61 | $83.18 |
Where North Dakota sits
The same service costs 5.8 times more in Alaska 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· 2nd of 51
$269
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.