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 $66.07 Median $169.82 Typical High $229.09 | Facility | None | $66.07 | $169.82 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $199.53 | Professional | None (both parts) | $61.66 | $77.62 | $199.53 |
BCBS North Dakota Setting Facility Modifier None Typical Low $39.81 Median $173.78 Typical High $208.93 | Facility | None | $39.81 | $173.78 | $208.93 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $251.19 | Professional | None (both parts) | $165.96 | $213.80 | $251.19 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $70.79 | Professional | 26 · Professional part | $46.77 | $60.26 | $70.79 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $181.97 | Professional | TC · Technical part | $117.49 | $151.36 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $128.82 | $128.82 | $158.49 |
Medica Setting Facility Modifier None Typical Low $66.07 Median $95.50 Typical High $199.53 | Facility | None | $66.07 | $95.50 | $199.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $83.18 Median $194.98 Typical High $239.88 | Professional | None (both parts) | $83.18 | $194.98 | $239.88 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $194.98 Typical High $208.93 | Professional | None (both parts) | $95.50 | $194.98 | $208.93 |
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 $199.53 Median $257.04 Typical High $302.00 | Professional | 22 · Increased work | $199.53 | $257.04 | $302.00 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $33.11 Median $42.66 Typical High $50.12 | Professional | 55 · Aftercare only | $33.11 | $42.66 | $50.12 |
Where North Dakota sits
The same service costs 5.9 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· 5th of 51
$170
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.