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 $97.72 Median $97.72 Typical High $97.72 | Facility | None | $97.72 | $97.72 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $131.83 | Professional | None (both parts) | $97.72 | $97.72 | $131.83 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $371.54 | Professional | None (both parts) | $245.47 | $309.03 | $371.54 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $177.83 Typical High $208.93 | Professional | 26 · Professional part | $138.04 | $177.83 | $208.93 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $134.90 Typical High $165.96 | Professional | TC · Technical part | $109.65 | $134.90 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $234.42 | Professional | None (both parts) | $186.21 | $186.21 | $234.42 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $295.12 | Facility | None | $97.72 | $97.72 | $295.12 |
Medica Setting Professional Modifier None (both parts) Typical Low $288.40 Median $309.03 Typical High $2,187.76 | Professional | None (both parts) | $288.40 | $309.03 | $2,187.76 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $288.40 Typical High $309.03 | Professional | None (both parts) | $141.25 | $288.40 | $309.03 |
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 $295.12 Median $371.54 Typical High $446.68 | Professional | 22 · Increased work | $295.12 | $371.54 | $446.68 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $48.98 Median $63.10 Typical High $75.86 | Professional | 55 · Aftercare only | $48.98 | $63.10 | $75.86 |
Where North Dakota sits
The same service costs 7.6 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
$269
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.