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 $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $13.80 | Professional | None | $8.51 | $8.51 | $13.80 |
BCBS North Dakota Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $23.99 | Professional | None | $15.85 | $20.42 | $23.99 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $19.05 Median $24.55 Typical High $28.84 | Professional | 22 · Increased work | $19.05 | $24.55 | $28.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $3.16 Median $4.07 Typical High $4.79 | Professional | 55 · Aftercare only | $3.16 | $4.07 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $22.39 | Facility | None | $19.50 | $19.50 | $22.39 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $16.98 Typical High $24.55 | Professional | None | $8.91 | $16.98 | $24.55 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $22.39 | Facility | None | $8.51 | $8.51 | $22.39 |
Medica Setting Professional Modifier None Typical Low $5.13 Median $10.72 Typical High $89.13 | Professional | None | $5.13 | $10.72 | $89.13 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.51 Typical High $20.89 | Professional | None | $5.13 | $8.51 | $20.89 |
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 $4.27 Median $4.27 Typical High $6.92 | Professional | 52 · Reduced service | $4.27 | $4.27 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $2.82 | Professional | 53 · Discontinued | $1.70 | $1.70 | $2.82 |
Where North Dakota sits
The same service costs 4.0 times more in Alaska 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· 5th of 51
$16.98
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.