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 $81.28 Median $81.28 Typical High $120.23 | Facility | None | $81.28 | $81.28 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $213.80 | Professional | None (both parts) | $81.28 | $81.28 | $213.80 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $223.87 | $288.40 | $346.74 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $72.44 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $72.44 | $85.11 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $257.04 | Professional | TC · Technical part | $169.82 | $213.80 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $218.78 | Professional | None (both parts) | $173.78 | $173.78 | $218.78 |
Medica Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $245.47 | Facility | None | $81.28 | $81.28 | $245.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $724.44 | Professional | None (both parts) | $213.80 | $257.04 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $239.88 Typical High $257.04 | Professional | None (both parts) | $120.23 | $239.88 | $257.04 |
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 $269.15 Median $346.74 Typical High $416.87 | Professional | 22 · Increased work | $269.15 | $346.74 | $416.87 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $45.71 Median $57.54 Typical High $69.18 | Professional | 55 · Aftercare only | $45.71 | $57.54 | $69.18 |
Where North Dakota sits
The same service costs 4.6 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· 3rd of 51
$229
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.