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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $18.62 Typical High $25.70 | Professional | None | $17.38 | $18.62 | $25.70 |
BCBS North Dakota Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $229.09 | Professional | None | $154.88 | $208.93 | $229.09 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $186.21 Median $251.19 Typical High $275.42 | Professional | 22 · Increased work | $186.21 | $251.19 | $275.42 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $41.69 Typical High $45.71 | Professional | 55 · Aftercare only | $30.90 | $41.69 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $35.48 | Facility | None | $30.90 | $30.90 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $25.12 Typical High $36.31 | Professional | None | $19.05 | $25.12 | $36.31 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $32.36 | Facility | None | $18.62 | $18.62 | $32.36 |
Medica Setting Professional Modifier None Typical Low $10.23 Median $16.22 Typical High $162.18 | Professional | None | $10.23 | $16.22 | $162.18 |
United Setting Professional Modifier None Typical Low $9.77 Median $12.88 Typical High $31.62 | Professional | None | $9.77 | $12.88 | $31.62 |
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 $8.71 Median $9.33 Typical High $12.88 | Professional | 52 · Reduced service | $8.71 | $9.33 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.72 Typical High $5.25 | Professional | 53 · Discontinued | $3.47 | $3.72 | $5.25 |
Where North Dakota sits
The same service costs 14.8 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· 5th of 51
$31.62
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.