How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $208.93 Median $1,548.82 Typical High $2,398.83 | Facility | None | $208.93 | $1,548.82 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $239.88 Typical High $436.52 | Professional | None (both parts) | $181.97 | $239.88 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $64.57 | $74.13 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $162.18 Typical High $302.00 | Professional | TC · Technical part | $117.49 | $162.18 | $302.00 |
BCBS North Dakota Setting Facility Modifier None Typical Low $467.74 Median $602.56 Typical High $933.25 | Facility | None | $467.74 | $602.56 | $933.25 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $346.74 Median $457.09 Typical High $524.81 | Professional | None (both parts) | $346.74 | $457.09 | $524.81 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $154.88 Typical High $181.97 | Professional | 26 · Professional part | $117.49 | $154.88 | $181.97 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $295.12 Typical High $346.74 | Professional | TC · Technical part | $229.09 | $295.12 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $371.54 Typical High $537.03 | Professional | None (both parts) | $199.53 | $371.54 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $125.89 Typical High $186.21 | Professional | 26 · Professional part | $70.79 | $125.89 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $251.19 Typical High $354.81 | Professional | TC · Technical part | $128.82 | $251.19 | $354.81 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $1,071.52 Typical High $1,479.11 | Facility | None | $208.93 | $1,071.52 | $1,479.11 |
Medica Setting Professional Modifier None (both parts) Typical Low $213.80 Median $457.09 Typical High $3,981.07 | Professional | None (both parts) | $213.80 | $457.09 | $3,981.07 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $128.82 Typical High $436.52 | Professional | 26 · Professional part | $75.86 | $128.82 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $331.13 Typical High $1,000.00 | Professional | TC · Technical part | $134.90 | $331.13 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $371.54 Typical High $489.78 | Professional | None (both parts) | $213.80 | $371.54 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $109.65 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $239.88 Typical High $331.13 | Professional | TC · Technical part | $134.90 | $239.88 | $331.13 |
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 $416.87 Median $537.03 Typical High $630.96 | Professional | 22 · Increased work | $416.87 | $537.03 | $630.96 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $69.18 Median $91.20 Typical High $104.71 | Professional | 55 · Aftercare only | $69.18 | $91.20 | $104.71 |
Where North Dakota sits
The same service costs 6.3 times more in Minnesota 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· 7th of 51
$437
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.