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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $831.76 Typical High $954.99 | Professional | None (both parts) | $758.58 | $831.76 | $954.99 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $42.66 | $52.48 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $794.33 Typical High $912.01 | Professional | TC · Technical part | $724.44 | $794.33 | $912.01 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,089.30 Typical High $2,570.40 | Professional | None (both parts) | $1,698.24 | $2,089.30 | $2,570.40 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $128.82 | Professional | 26 · Professional part | $83.18 | $109.65 | $128.82 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $1,995.26 Typical High $2,454.71 | Professional | TC · Technical part | $1,584.89 | $1,995.26 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,412.54 Typical High $2,344.23 | Professional | None (both parts) | $758.58 | $1,412.54 | $2,344.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $46.77 | $74.13 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $1,318.26 Typical High $2,238.72 | Professional | TC · Technical part | $707.95 | $1,318.26 | $2,238.72 |
Medica Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $2,511.89 | Facility | None | $831.76 | $831.76 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,513.56 Typical High $5,495.41 | Professional | None (both parts) | $891.25 | $1,513.56 | $5,495.41 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $104.71 Typical High $588.84 | Professional | 26 · Professional part | $53.70 | $104.71 | $588.84 |
Medica Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,412.54 Typical High $5,128.61 | Professional | TC · Technical part | $831.76 | $1,412.54 | $5,128.61 |
United Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,412.54 Typical High $1,905.46 | Professional | None (both parts) | $870.96 | $1,412.54 | $1,905.46 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $53.70 | $93.33 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,318.26 Typical High $1,778.28 | Professional | TC · Technical part | $831.76 | $1,318.26 | $1,778.28 |
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 $1,995.26 Median $2,511.89 Typical High $3,090.30 | Professional | 22 · Increased work | $1,995.26 | $2,511.89 | $3,090.30 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $338.84 Median $416.87 Typical High $512.86 | Professional | 55 · Aftercare only | $338.84 | $416.87 | $512.86 |
Where North Dakota sits
The same service costs 3.1 times more in Alaska than in New York. 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· 6th of 51
$1,549
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.