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 $194.98 Median $346.74 Typical High $691.83 | Facility | None | $194.98 | $346.74 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $263.03 Typical High $691.83 | Professional | None (both parts) | $194.98 | $263.03 | $691.83 |
BCBS North Dakota Setting Facility Modifier None Typical Low $302.00 Median $416.87 Typical High $630.96 | Facility | None | $302.00 | $416.87 | $630.96 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $489.78 Median $630.96 Typical High $741.31 | Professional | None (both parts) | $489.78 | $630.96 | $741.31 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $173.78 Typical High $204.17 | Professional | 26 · Professional part | $134.90 | $173.78 | $204.17 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $457.09 Typical High $537.03 | Professional | TC · Technical part | $354.81 | $457.09 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $478.63 | Professional | None (both parts) | $380.19 | $380.19 | $478.63 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $288.40 Typical High $446.68 | Facility | None | $194.98 | $288.40 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $537.03 Median $616.60 Typical High $1,819.70 | Professional | None (both parts) | $537.03 | $616.60 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $588.84 Typical High $630.96 | Professional | None (both parts) | $288.40 | $588.84 | $630.96 |
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 $588.84 Median $758.58 Typical High $891.25 | Professional | 22 · Increased work | $588.84 | $758.58 | $891.25 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $97.72 Median $125.89 Typical High $147.91 | Professional | 55 · Aftercare only | $97.72 | $125.89 | $147.91 |
Where North Dakota sits
The same service costs 4.2 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· 3rd of 51
$501
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.