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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $275.42 | Professional | None (both parts) | $69.18 | $69.18 | $275.42 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $144.54 Median $186.21 Typical High $223.87 | Professional | None (both parts) | $144.54 | $186.21 | $223.87 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $50.12 | Professional | 26 · Professional part | $33.11 | $42.66 | $50.12 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $169.82 | Professional | TC · Technical part | $112.20 | $144.54 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $141.25 | Professional | None (both parts) | $112.20 | $112.20 | $141.25 |
Medica Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $204.17 | Facility | None | $69.18 | $69.18 | $204.17 |
Medica Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $630.96 | Professional | None (both parts) | $158.49 | $218.78 | $630.96 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $204.17 Typical High $218.78 | Professional | None (both parts) | $100.00 | $204.17 | $218.78 |
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 $173.78 Median $223.87 Typical High $263.03 | Professional | 22 · Increased work | $173.78 | $223.87 | $263.03 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $28.84 Median $37.15 Typical High $44.67 | Professional | 55 · Aftercare only | $28.84 | $37.15 | $44.67 |
Where North Dakota sits
The same service costs 4.0 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
$158
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.