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 |
|---|---|---|---|---|---|
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $19.05 Median $21.88 Typical High $25.70 | Professional | 22 · Increased work | $19.05 | $21.88 | $25.70 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $3.63 Typical High $4.27 | Professional | 55 · Aftercare only | $3.16 | $3.63 | $4.27 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $1.58 Median $1.82 Typical High $2.14 | Professional | 56 · Pre-op care only | $1.58 | $1.82 | $2.14 |
BCBS North Dakota Setting Professional Modifier SL · State-supplied vaccine Typical Low $15.85 Median $18.20 Typical High $21.38 | Professional | SL · State-supplied vaccine | $15.85 | $18.20 | $21.38 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $33.11 | Professional | None | $21.88 | $21.88 | $33.11 |
BCBS North Dakota Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $28.18 | Professional | None | $22.39 | $22.39 | $28.18 |
Medica Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $66.07 | Facility | None | $21.88 | $21.88 | $66.07 |
Medica Setting Professional Modifier None Typical Low $19.50 Median $21.88 Typical High $21.88 | Professional | None | $19.50 | $21.88 | $21.88 |
United Setting Professional Modifier None Typical Low $22.39 Median $23.99 Typical High $24.55 | Professional | None | $22.39 | $23.99 | $24.55 |
Where North Dakota sits
The same service costs 1.9 times more in Alabama than in Georgia. 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· 48th of 51
$21.88
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.