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 $61.66 Median $66.07 Typical High $66.07 | Facility | None | $61.66 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $66.07 Typical High $85.11 | Professional | None | $61.66 | $66.07 | $85.11 |
BCBS North Dakota Setting Professional Modifier None Typical Low $147.91 Median $186.21 Typical High $245.47 | Professional | None | $147.91 | $186.21 | $245.47 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $177.83 Median $223.87 Typical High $288.40 | Professional | 22 · Increased work | $177.83 | $223.87 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $117.49 Typical High $144.54 | Professional | None | $107.15 | $117.49 | $144.54 |
Medica Setting Facility Modifier None Typical Low $61.66 Median $66.07 Typical High $186.21 | Facility | None | $61.66 | $66.07 | $186.21 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $218.78 Typical High $588.84 | Professional | None | $194.98 | $218.78 | $588.84 |
United Setting Professional Modifier None Typical Low $102.33 Median $199.53 Typical High $218.78 | Professional | None | $102.33 | $199.53 | $218.78 |
4 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 $30.90 Median $33.11 Typical High $33.11 | Facility | 52 · Reduced service | $30.90 | $33.11 | $33.11 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.30 Median $13.18 Typical High $13.18 | Facility | 53 · Discontinued | $12.30 | $13.18 | $13.18 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $9.33 Median $10.00 Typical High $10.00 | Facility | 55 · Aftercare only | $9.33 | $10.00 | $10.00 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $6.17 Median $6.61 Typical High $6.61 | Facility | 56 · Pre-op care only | $6.17 | $6.61 | $6.61 |
Where North Dakota sits
The same service costs 5.0 times more in Alaska than in Alabama. 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
$162
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.