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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $109.65 Typical High $117.49 | Professional | None (both parts) | $104.71 | $109.65 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $85.11 | Professional | 26 · Professional part | $74.13 | $81.28 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | TC · Technical part | $28.18 | $28.18 | $33.11 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $181.97 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $181.97 | $245.47 | $245.47 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $131.83 | $173.78 | $173.78 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $67.61 Typical High $67.61 | Professional | TC · Technical part | $51.29 | $67.61 | $67.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $190.55 Typical High $295.12 | Professional | None (both parts) | $74.13 | $190.55 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $138.04 Typical High $208.93 | Professional | 26 · Professional part | $53.70 | $138.04 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $52.48 Typical High $81.28 | Professional | TC · Technical part | $20.89 | $52.48 | $81.28 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $323.59 | Facility | None | $109.65 | $109.65 | $323.59 |
Medica Setting Professional Modifier None (both parts) Typical Low $87.10 Median $134.90 Typical High $707.95 | Professional | None (both parts) | $87.10 | $134.90 | $707.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $104.71 Typical High $489.78 | Professional | 26 · Professional part | $67.61 | $104.71 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $28.84 Typical High $213.80 | Professional | TC · Technical part | $19.05 | $28.84 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $93.33 | $112.20 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $67.61 | $79.43 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $53.70 | Professional | TC · Technical part | $23.99 | $31.62 | $53.70 |
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 $218.78 Median $288.40 Typical High $288.40 | Professional | 22 · Increased work | $218.78 | $288.40 | $288.40 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $48.98 Typical High $48.98 | Professional | 55 · Aftercare only | $36.31 | $48.98 | $48.98 |
Where North Dakota sits
The same service costs 3.3 times more in Alaska than in Utah. 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· 2nd of 51
$182
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.