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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $165.96 | $165.96 | $218.78 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $398.11 Median $512.86 Typical High $616.60 | Professional | None (both parts) | $398.11 | $512.86 | $616.60 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $257.04 Typical High $302.00 | Professional | 26 · Professional part | $199.53 | $257.04 | $302.00 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $251.19 Typical High $309.03 | Professional | TC · Technical part | $194.98 | $251.19 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $389.05 | Professional | None (both parts) | $309.03 | $309.03 | $389.05 |
Medica Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $501.19 | Facility | None | $165.96 | $165.96 | $501.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $426.58 Median $524.81 Typical High $1,548.82 | Professional | None (both parts) | $426.58 | $524.81 | $1,548.82 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $501.19 Typical High $524.81 | Professional | None (both parts) | $245.47 | $501.19 | $524.81 |
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 $467.74 Median $616.60 Typical High $724.44 | Professional | 22 · Increased work | $467.74 | $616.60 | $724.44 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $102.33 Typical High $123.03 | Professional | 55 · Aftercare only | $79.43 | $102.33 | $123.03 |
Where North Dakota sits
The same service costs 6.5 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· 3rd of 51
$427
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.