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 $288.40 Median $288.40 Typical High $977.24 | Facility | None | $288.40 | $288.40 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $524.81 | Professional | None (both parts) | $190.55 | $288.40 | $524.81 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $676.08 Median $851.14 Typical High $1,023.29 | Professional | None (both parts) | $676.08 | $851.14 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $138.04 Typical High $162.18 | Professional | 26 · Professional part | $107.15 | $138.04 | $162.18 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $707.95 Typical High $870.96 | Professional | TC · Technical part | $562.34 | $707.95 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $645.65 | Professional | None (both parts) | $512.86 | $512.86 | $645.65 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $288.40 Typical High $1,148.15 | Facility | None | $134.90 | $288.40 | $1,148.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $812.83 Median $912.01 Typical High $2,570.40 | Professional | None (both parts) | $812.83 | $912.01 | $2,570.40 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $851.14 Typical High $933.25 | Professional | None (both parts) | $416.87 | $851.14 | $933.25 |
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 $812.83 Median $1,023.29 Typical High $1,230.27 | Professional | 22 · Increased work | $812.83 | $1,023.29 | $1,230.27 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $134.90 Median $169.82 Typical High $204.17 | Professional | 55 · Aftercare only | $134.90 | $169.82 | $204.17 |
Where North Dakota sits
The same service costs 9.1 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
$676
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.