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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $21.38 Typical High $29.51 | Professional | None | $19.50 | $21.38 | $29.51 |
BCBS North Dakota Setting Professional Modifier None Typical Low $33.88 Median $45.71 Typical High $50.12 | Professional | None | $33.88 | $45.71 | $50.12 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $40.74 Median $54.95 Typical High $60.26 | Professional | 22 · Increased work | $40.74 | $54.95 | $60.26 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.76 Median $9.12 Typical High $10.00 | Professional | 55 · Aftercare only | $6.76 | $9.12 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $40.74 | Facility | None | $35.48 | $35.48 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $28.84 Typical High $41.69 | Professional | None | $21.38 | $28.84 | $41.69 |
Medica Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $37.15 | Facility | None | $21.38 | $21.38 | $37.15 |
Medica Setting Professional Modifier None Typical Low $12.59 Median $18.62 Typical High $186.21 | Professional | None | $12.59 | $18.62 | $186.21 |
United Setting Professional Modifier None Typical Low $11.75 Median $14.79 Typical High $35.48 | Professional | None | $11.75 | $14.79 | $35.48 |
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 $9.77 Median $10.72 Typical High $14.79 | Professional | 52 · Reduced service | $9.77 | $10.72 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $4.27 Typical High $5.89 | Professional | 53 · Discontinued | $3.89 | $4.27 | $5.89 |
Where North Dakota sits
The same service costs 8.9 times more in Alaska than in Kentucky. 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· 9th of 51
$33.88
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.