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 $346.74 Median $354.81 Typical High $457.09 | Facility | None | $346.74 | $354.81 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $446.68 Typical High $575.44 | Professional | None | $338.84 | $446.68 | $575.44 |
BCBS North Dakota Setting Professional Modifier None Typical Low $776.25 Median $1,000.00 Typical High $1,412.54 | Professional | None | $776.25 | $1,000.00 | $1,412.54 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $933.25 Median $1,202.26 Typical High $1,659.59 | Professional | 22 · Increased work | $933.25 | $1,202.26 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,047.13 | Facility | None | $912.01 | $912.01 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $933.25 Typical High $1,659.59 | Professional | None | $588.84 | $933.25 | $1,659.59 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $602.56 Typical High $2,344.23 | Facility | None | $346.74 | $602.56 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $489.78 Median $831.76 Typical High $1,000.00 | Professional | None | $489.78 | $831.76 | $1,000.00 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,288.25 Typical High $2,511.89 | Facility | None | $758.58 | $1,288.25 | $2,511.89 |
United Setting Professional Modifier None Typical Low $371.54 Median $660.69 Typical High $891.25 | Professional | None | $371.54 | $660.69 | $891.25 |
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 $169.82 Median $177.83 Typical High $229.09 | Facility | 52 · Reduced service | $169.82 | $177.83 | $229.09 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $51.29 Median $53.70 Typical High $69.18 | Facility | 55 · Aftercare only | $51.29 | $53.70 | $69.18 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $34.67 Median $35.48 Typical High $45.71 | Facility | 56 · Pre-op care only | $34.67 | $35.48 | $45.71 |
Where North Dakota sits
The same service costs 3.1 times more in Alaska than in Indiana. 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· 4th of 51
$871
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.