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 Typical Low $67.61 Median $72.44 Typical High $100.00 | Professional | None | $67.61 | $72.44 | $100.00 |
BCBS North Dakota Setting Professional Modifier None Typical Low $33.88 Median $42.66 Typical High $50.12 | Professional | None | $33.88 | $42.66 | $50.12 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $40.74 Median $51.29 Typical High $60.26 | Professional | 22 · Increased work | $40.74 | $51.29 | $60.26 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $8.51 Typical High $10.00 | Professional | 55 · Aftercare only | $6.76 | $8.51 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $138.04 | Facility | None | $120.23 | $120.23 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $97.72 Typical High $158.49 | Professional | None | $72.44 | $97.72 | $158.49 |
Medica Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $141.25 | Facility | None | $72.44 | $72.44 | $141.25 |
Medica Setting Professional Modifier None Typical Low $43.65 Median $63.10 Typical High $630.96 | Professional | None | $43.65 | $63.10 | $630.96 |
United Setting Professional Modifier None Typical Low $39.81 Median $50.12 Typical High $123.03 | Professional | None | $39.81 | $50.12 | $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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $36.31 Typical High $50.12 | Professional | 52 · Reduced service | $33.88 | $36.31 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.45 Typical High $19.95 | Professional | 53 · Discontinued | $13.49 | $14.45 | $19.95 |
Where North Dakota sits
The same service costs 9.3 times more in Alaska than in Hawaii. 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· 40th of 51
$50.12
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.