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 $275.42 Median $275.42 Typical High $1,122.02 | Facility | None | $275.42 | $275.42 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $457.09 Typical High $2,137.96 | Professional | None (both parts) | $275.42 | $457.09 | $2,137.96 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $831.76 Median $1,071.52 Typical High $1,288.25 | Professional | None (both parts) | $831.76 | $1,071.52 | $1,288.25 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $162.18 Typical High $194.98 | Professional | 26 · Professional part | $125.89 | $162.18 | $194.98 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $912.01 Typical High $1,096.48 | Professional | TC · Technical part | $707.95 | $912.01 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | None (both parts) | $660.69 | $660.69 | $812.83 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $831.76 | Facility | None | $275.42 | $275.42 | $831.76 |
Medica Setting Professional Modifier None (both parts) Typical Low $707.95 Median $870.96 Typical High $3,235.94 | Professional | None (both parts) | $707.95 | $870.96 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $398.11 Median $812.83 Typical High $891.25 | Professional | None (both parts) | $398.11 | $812.83 | $891.25 |
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 $1,000.00 Median $1,288.25 Typical High $1,548.82 | Professional | 22 · Increased work | $1,000.00 | $1,288.25 | $1,548.82 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $169.82 Median $218.78 Typical High $257.04 | Professional | 55 · Aftercare only | $169.82 | $218.78 | $257.04 |
Where North Dakota sits
The same service costs 11.5 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
$832
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.