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 $21.88 Median $57.54 Typical High $177.83 | Facility | None | $21.88 | $57.54 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $54.95 Typical High $151.36 | Professional | None (both parts) | $21.88 | $54.95 | $151.36 |
BCBS North Dakota Setting Facility Modifier None Typical Low $46.77 Median $61.66 Typical High $144.54 | Facility | None | $46.77 | $61.66 | $144.54 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $87.10 | Professional | None (both parts) | $57.54 | $74.13 | $87.10 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $17.78 | Professional | 26 · Professional part | $11.75 | $14.79 | $17.78 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $58.88 Typical High $69.18 | Professional | TC · Technical part | $44.67 | $58.88 | $69.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $54.95 | Professional | None (both parts) | $43.65 | $43.65 | $54.95 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $47.86 Typical High $154.88 | Facility | None | $21.88 | $47.86 | $154.88 |
Medica Setting Professional Modifier None (both parts) Typical Low $61.66 Median $69.18 Typical High $263.03 | Professional | None (both parts) | $61.66 | $69.18 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $64.57 Typical High $69.18 | Professional | None (both parts) | $32.36 | $64.57 | $69.18 |
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 $67.61 Median $87.10 Typical High $104.71 | Professional | 22 · Increased work | $67.61 | $87.10 | $104.71 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $11.48 Median $14.79 Typical High $17.38 | Professional | 55 · Aftercare only | $11.48 | $14.79 | $17.38 |
Where North Dakota sits
The same service costs 4.4 times more in Alaska than in Arkansas. 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
$64.57
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.