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 $128.82 Median $128.82 Typical High $478.63 | Facility | None | $128.82 | $128.82 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $162.18 Typical High $467.74 | Professional | None (both parts) | $128.82 | $162.18 | $467.74 |
BCBS North Dakota Setting Facility Modifier None Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | None | $346.74 | $346.74 | $346.74 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $446.68 | Professional | None (both parts) | $295.12 | $380.19 | $446.68 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $91.20 | $107.15 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $295.12 Typical High $346.74 | Professional | TC · Technical part | $223.87 | $295.12 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $229.09 | $229.09 | $380.19 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $128.82 Typical High $389.05 | Facility | None | $93.33 | $128.82 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $338.84 Typical High $380.19 | Professional | None (both parts) | $109.65 | $338.84 | $380.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $87.10 Typical High $100.00 | Professional | 26 · Professional part | $27.54 | $87.10 | $100.00 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $204.17 Typical High $380.19 | Professional | None (both parts) | $109.65 | $204.17 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $58.88 Typical High $95.50 | Professional | 26 · Professional part | $27.54 | $58.88 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $154.88 Typical High $288.40 | Professional | TC · Technical part | $83.18 | $154.88 | $288.40 |
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 $354.81 Median $457.09 Typical High $537.03 | Professional | 22 · Increased work | $354.81 | $457.09 | $537.03 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $58.88 Median $75.86 Typical High $89.13 | Professional | 55 · Aftercare only | $58.88 | $75.86 | $89.13 |
Where North Dakota sits
The same service costs 4.9 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· 2nd of 51
$339
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.