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 $64.57 Median $64.57 Typical High $891.25 | Facility | None | $64.57 | $64.57 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $85.11 Typical High $263.03 | Professional | None (both parts) | $64.57 | $85.11 | $263.03 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $239.88 | Professional | None (both parts) | $154.88 | $199.53 | $239.88 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $131.83 Typical High $154.88 | Professional | 26 · Professional part | $100.00 | $131.83 | $154.88 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $53.70 | $69.18 | $81.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $147.91 | Professional | None (both parts) | $120.23 | $120.23 | $147.91 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $64.57 Typical High $131.83 | Facility | None | $38.02 | $64.57 | $131.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $190.55 Median $199.53 Typical High $588.84 | Professional | None (both parts) | $190.55 | $199.53 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $190.55 Typical High $199.53 | Professional | None (both parts) | $93.33 | $190.55 | $199.53 |
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 $186.21 Median $239.88 Typical High $281.84 | Professional | 22 · Increased work | $186.21 | $239.88 | $281.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $39.81 Typical High $47.86 | Professional | 55 · Aftercare only | $30.90 | $39.81 | $47.86 |
Where North Dakota sits
The same service costs 4.5 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
$178
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.