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 $38.90 Median $38.90 Typical High $125.89 | Facility | None | $38.90 | $38.90 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $45.71 Typical High $114.82 | Professional | None (both parts) | $35.48 | $45.71 | $114.82 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $93.33 Median $120.23 Typical High $144.54 | Professional | None (both parts) | $93.33 | $120.23 | $144.54 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $64.57 | $77.62 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $64.57 | Professional | TC · Technical part | $42.66 | $54.95 | $64.57 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | None (both parts) | $72.44 | $72.44 | $89.13 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $114.82 | Facility | None | $38.90 | $38.90 | $114.82 |
Medica Setting Professional Modifier None (both parts) Typical Low $107.15 Median $120.23 Typical High $338.84 | Professional | None (both parts) | $107.15 | $120.23 | $338.84 |
United Setting Professional Modifier None (both parts) Typical Low $56.23 Median $114.82 Typical High $123.03 | Professional | None (both parts) | $56.23 | $114.82 | $123.03 |
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 $112.20 Median $144.54 Typical High $169.82 | Professional | 22 · Increased work | $112.20 | $144.54 | $169.82 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $18.62 Median $23.99 Typical High $28.84 | Professional | 55 · Aftercare only | $18.62 | $23.99 | $28.84 |
Where North Dakota sits
The same service costs 4.7 times more in Alaska than in Louisiana. 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
$107
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.