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 $524.81 Median $524.81 Typical High $537.03 | Facility | None | $524.81 | $524.81 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $524.81 Typical High $537.03 | Professional | None (both parts) | $512.86 | $524.81 | $537.03 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,380.38 Typical High $1,621.81 | Professional | None (both parts) | $1,096.48 | $1,380.38 | $1,621.81 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $831.76 Typical High $1,023.29 | Professional | 26 · Professional part | $707.95 | $831.76 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $218.78 Median $275.42 Typical High $323.59 | Professional | 55 · Aftercare only | $218.78 | $275.42 | $323.59 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $512.86 Typical High $630.96 | Professional | TC · Technical part | $416.87 | $512.86 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,801.89 | Facility | None | $3,311.31 | $3,311.31 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $2,818.38 Median $3,715.35 Typical High $5,888.44 | Professional | None (both parts) | $2,818.38 | $3,715.35 | $5,888.44 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $269.15 Typical High $891.25 | Facility | None | $125.89 | $269.15 | $891.25 |
Medica Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,288.25 Typical High $1,513.56 | Professional | None (both parts) | $707.95 | $1,288.25 | $1,513.56 |
United Setting Facility Modifier None Typical Low $125.89 Median $251.19 Typical High $269.15 | Facility | None | $125.89 | $251.19 | $269.15 |
United Setting Professional Modifier None (both parts) Typical Low $707.95 Median $1,258.93 Typical High $3,162.28 | Professional | None (both parts) | $707.95 | $1,258.93 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $416.87 Median $724.44 Typical High $851.14 | Professional | 26 · Professional part | $416.87 | $724.44 | $851.14 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $512.86 Typical High $2,511.89 | Professional | TC · Technical part | $288.40 | $512.86 | $2,511.89 |
1 more rate 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 $1,318.26 Median $1,659.59 Typical High $1,949.84 | Professional | 22 · Increased work | $1,318.26 | $1,659.59 | $1,949.84 |
Where North Dakota sits
The same service costs 5.6 times more in Nebraska than in Maryland. 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· 8th of 51
$1,288
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.