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 $123.03 Median $123.03 Typical High $436.52 | Facility | None | $123.03 | $123.03 | $436.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $309.03 | Professional | None (both parts) | $107.15 | $131.83 | $309.03 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $302.00 Median $380.19 Typical High $467.74 | Professional | None (both parts) | $302.00 | $380.19 | $467.74 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $81.28 | $97.72 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $363.08 | Professional | TC · Technical part | $239.88 | $302.00 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $229.09 | $229.09 | $288.40 |
Medica Setting Facility Modifier None Typical Low $79.43 Median $123.03 Typical High $281.84 | Facility | None | $79.43 | $123.03 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $147.91 Median $363.08 Typical High $1,071.52 | Professional | None (both parts) | $147.91 | $363.08 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $177.83 Median $363.08 Typical High $389.05 | Professional | None (both parts) | $177.83 | $363.08 | $389.05 |
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 $363.08 Median $457.09 Typical High $562.34 | Professional | 22 · Increased work | $363.08 | $457.09 | $562.34 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $75.86 Typical High $93.33 | Professional | 55 · Aftercare only | $60.26 | $75.86 | $93.33 |
Where North Dakota sits
The same service costs 7.1 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
$309
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.