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 $74.13 Median $190.55 Typical High $251.19 | Facility | None | $74.13 | $190.55 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $120.23 Typical High $302.00 | Professional | None (both parts) | $74.13 | $120.23 | $302.00 |
BCBS North Dakota Setting Facility Modifier None Typical Low $134.90 Median $218.78 Typical High $269.15 | Facility | None | $134.90 | $218.78 | $269.15 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $190.55 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $190.55 | $245.47 | $295.12 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $43.65 | $56.23 | $67.61 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $223.87 | Professional | TC · Technical part | $147.91 | $190.55 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $147.91 | $147.91 | $186.21 |
Medica Setting Facility Modifier None Typical Low $74.13 Median $141.25 Typical High $169.82 | Facility | None | $74.13 | $141.25 | $169.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $707.95 | Professional | None (both parts) | $199.53 | $234.42 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $223.87 Typical High $239.88 | Professional | None (both parts) | $109.65 | $223.87 | $239.88 |
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 $229.09 Median $295.12 Typical High $354.81 | Professional | 22 · Increased work | $229.09 | $295.12 | $354.81 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $38.90 Median $48.98 Typical High $58.88 | Professional | 55 · Aftercare only | $38.90 | $48.98 | $58.88 |
Where North Dakota sits
The same service costs 5.5 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· 4th of 51
$195
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.