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 $602.56 Median $660.69 Typical High $812.83 | Facility | None | $602.56 | $660.69 | $812.83 |
Aetna Setting Professional Modifier None Typical Low $602.56 Median $794.33 Typical High $1,047.13 | Professional | None | $602.56 | $794.33 | $1,047.13 |
BCBS North Dakota Setting Professional Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $2,570.40 | Professional | None | $1,445.44 | $1,862.09 | $2,570.40 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $1,737.80 Median $2,238.72 Typical High $3,090.30 | Professional | 22 · Increased work | $1,737.80 | $2,238.72 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,949.84 | Facility | None | $1,698.24 | $1,698.24 | $1,949.84 |
Cigna Setting Professional Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $3,019.95 | Professional | None | $1,071.52 | $1,778.28 | $3,019.95 |
Medica Setting Facility Modifier None Typical Low $602.56 Median $812.83 Typical High $2,344.23 | Facility | None | $602.56 | $812.83 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,513.56 Typical High $1,778.28 | Professional | None | $870.96 | $1,513.56 | $1,778.28 |
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 $660.69 Median $1,174.90 Typical High $1,584.89 | Professional | None | $660.69 | $1,174.90 | $1,584.89 |
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 $302.00 Median $323.59 Typical High $407.38 | Facility | 52 · Reduced service | $302.00 | $323.59 | $407.38 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $91.20 Median $97.72 Typical High $123.03 | Facility | 55 · Aftercare only | $91.20 | $97.72 | $123.03 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $60.26 Median $66.07 Typical High $81.28 | Facility | 56 · Pre-op care only | $60.26 | $66.07 | $81.28 |
Where North Dakota sits
The same service costs 3.2 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· 5th of 51
$1,585
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.