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 $72.44 Median $72.44 Typical High $72.44 | Facility | None | $72.44 | $72.44 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | None (both parts) | $72.44 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $22.39 | Professional | 26 · Professional part | $19.05 | $19.05 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $69.18 | Professional | TC · Technical part | $53.70 | $53.70 | $69.18 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $134.90 | $177.83 | $186.21 |
BCBS North Dakota Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $44.67 Typical High $46.77 | Professional | 26 · Professional part | $33.11 | $44.67 | $46.77 |
BCBS North Dakota Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $131.83 Typical High $138.04 | Professional | TC · Technical part | $100.00 | $131.83 | $138.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $186.21 | Professional | None (both parts) | $100.00 | $144.54 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $48.98 | Professional | 26 · Professional part | $25.12 | $36.31 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $138.04 | Professional | TC · Technical part | $74.13 | $104.71 | $138.04 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $218.78 | Facility | None | $72.44 | $72.44 | $218.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $69.18 Median $144.54 Typical High $707.95 | Professional | None (both parts) | $69.18 | $144.54 | $707.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $35.48 Typical High $213.80 | Professional | 26 · Professional part | $18.20 | $35.48 | $213.80 |
Medica Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $109.65 Typical High $501.19 | Professional | TC · Technical part | $52.48 | $109.65 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $67.61 | $112.20 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $28.18 Typical High $38.02 | Professional | 26 · Professional part | $16.22 | $28.18 | $38.02 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $85.11 Typical High $123.03 | Professional | TC · Technical part | $48.98 | $85.11 | $123.03 |
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 $158.49 Median $213.80 Typical High $218.78 | Professional | 22 · Increased work | $158.49 | $213.80 | $218.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $26.92 Median $35.48 Typical High $37.15 | Professional | 55 · Aftercare only | $26.92 | $35.48 | $37.15 |
Where North Dakota sits
The same service costs 2.4 times more in North Dakota than in Texas. 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· 1st of 51
$148
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.