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 $53.70 Median $134.90 Typical High $204.17 | Facility | None | $53.70 | $134.90 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $89.13 Typical High $223.87 | Professional | None (both parts) | $53.70 | $89.13 | $223.87 |
BCBS North Dakota Setting Facility Modifier None Typical Low $75.86 Median $173.78 Typical High $181.97 | Facility | None | $75.86 | $173.78 | $181.97 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $213.80 | Professional | None (both parts) | $141.25 | $181.97 | $213.80 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $30.20 | Professional | 26 · Professional part | $19.95 | $25.70 | $30.20 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $154.88 Typical High $186.21 | Professional | TC · Technical part | $123.03 | $154.88 | $186.21 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $134.90 | Professional | None (both parts) | $109.65 | $109.65 | $134.90 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $120.23 Typical High $162.18 | Facility | None | $53.70 | $120.23 | $162.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $43.65 Median $169.82 Typical High $512.86 | Professional | None (both parts) | $43.65 | $169.82 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $162.18 Typical High $173.78 | Professional | None (both parts) | $79.43 | $162.18 | $173.78 |
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 $169.82 Median $218.78 Typical High $257.04 | Professional | 22 · Increased work | $169.82 | $218.78 | $257.04 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $28.18 Median $36.31 Typical High $43.65 | Professional | 55 · Aftercare only | $28.18 | $36.31 | $43.65 |
Where North Dakota sits
The same service costs 6.0 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
$145
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.