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 $1,071.52 Median $10,000.00 Typical High $17,782.79 | Facility | None | $1,071.52 | $10,000.00 | $17,782.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,122.02 Typical High $1,778.28 | Professional | None (both parts) | $1,023.29 | $1,122.02 | $1,778.28 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $2,187.76 Typical High $2,570.40 | Professional | None (both parts) | $1,778.28 | $2,187.76 | $2,570.40 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $501.19 Median $630.96 Typical High $741.31 | Professional | 26 · Professional part | $501.19 | $630.96 | $741.31 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,548.82 Typical High $1,862.09 | Professional | TC · Technical part | $1,258.93 | $1,548.82 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $1,737.80 Typical High $1,995.26 | Facility | None | $1,737.80 | $1,737.80 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,238.72 Typical High $3,090.30 | Professional | None (both parts) | $1,479.11 | $2,238.72 | $3,090.30 |
Medica Setting Facility Modifier None Typical Low $1,071.52 Median $4,073.80 Typical High $7,762.47 | Facility | None | $1,071.52 | $4,073.80 | $7,762.47 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,905.46 Typical High $2,344.23 | Professional | None (both parts) | $1,096.48 | $1,905.46 | $2,344.23 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $4,168.69 Typical High $4,677.35 | Facility | None | $2,818.38 | $4,168.69 | $4,677.35 |
United Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,905.46 Typical High $2,290.87 | Professional | None (both parts) | $1,096.48 | $1,905.46 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $549.54 Typical High $645.65 | Professional | 26 · Professional part | $309.03 | $549.54 | $645.65 |
United Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,348.96 Typical High $1,621.81 | Professional | TC · Technical part | $794.33 | $1,348.96 | $1,621.81 |
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 $2,137.96 Median $2,630.27 Typical High $3,090.30 | Professional | 22 · Increased work | $2,137.96 | $2,630.27 | $3,090.30 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $354.81 Median $436.52 Typical High $524.81 | Professional | 55 · Aftercare only | $354.81 | $436.52 | $524.81 |
Where North Dakota sits
The same service costs 3.9 times more in Wisconsin 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· 11th of 51
$2,089
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.