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 None Typical Low $239.88 Median $323.59 Typical High $346.74 | Professional | None | $239.88 | $323.59 | $346.74 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $288.40 Median $389.05 Typical High $416.87 | Professional | 22 · Increased work | $288.40 | $389.05 | $416.87 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $47.86 Median $64.57 Typical High $69.18 | Professional | 55 · Aftercare only | $47.86 | $64.57 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $389.05 | Professional | None | $218.78 | $309.03 | $389.05 |
Medica Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $501.19 | Facility | None | $169.82 | $169.82 | $501.19 |
Medica Setting Professional Modifier None Typical Low $169.82 Median $346.74 Typical High $1,318.26 | Professional | None | $169.82 | $346.74 | $1,318.26 |
United Setting Professional Modifier None Typical Low $169.82 Median $295.12 Typical High $346.74 | Professional | None | $169.82 | $295.12 | $346.74 |
3 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 52 · Reduced service Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | 52 · Reduced service | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $85.11 Typical High $85.11 | Professional | 52 · Reduced service | $79.43 | $85.11 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $33.88 Typical High $33.88 | Professional | 53 · Discontinued | $31.62 | $33.88 | $33.88 |
Where North Dakota sits
The same service costs 5.0 times more in Alaska than in Florida. 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
$324
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.