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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $114.82 | Professional | None (both parts) | $95.50 | $95.50 | $114.82 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $208.93 Median $269.15 Typical High $323.59 | Professional | None (both parts) | $208.93 | $269.15 | $323.59 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $109.65 Typical High $131.83 | Professional | 26 · Professional part | $85.11 | $109.65 | $131.83 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $123.03 | $158.49 | $194.98 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $165.96 | $165.96 | $208.93 |
Medica Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $288.40 | Facility | None | $95.50 | $95.50 | $288.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $302.00 Typical High $1,000.00 | Professional | None (both parts) | $275.42 | $302.00 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $288.40 Typical High $302.00 | Professional | None (both parts) | $141.25 | $288.40 | $302.00 |
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 $245.47 Median $323.59 Typical High $389.05 | Professional | 22 · Increased work | $245.47 | $323.59 | $389.05 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $41.69 Median $53.70 Typical High $64.57 | Professional | 55 · Aftercare only | $41.69 | $53.70 | $64.57 |
Where North Dakota sits
The same service costs 5.8 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
$234
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.