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 $363.08 Median $363.08 Typical High $363.08 | Facility | None | $363.08 | $363.08 | $363.08 |
Aetna Setting Professional Modifier None Typical Low $363.08 Median $371.54 Typical High $537.03 | Professional | None | $363.08 | $371.54 | $537.03 |
BCBS North Dakota Setting Professional Modifier None Typical Low $602.56 Median $758.58 Typical High $891.25 | Professional | None | $602.56 | $758.58 | $891.25 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $724.44 Median $912.01 Typical High $1,071.52 | Professional | 22 · Increased work | $724.44 | $912.01 | $1,071.52 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $123.03 Median $151.36 Typical High $177.83 | Professional | 55 · Aftercare only | $123.03 | $151.36 | $177.83 |
BCBS North Dakota Setting Professional Modifier 56 · Pre-op care only Typical Low $60.26 Median $75.86 Typical High $89.13 | Professional | 56 · Pre-op care only | $60.26 | $75.86 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $407.38 Median $724.44 Typical High $954.99 | Professional | None | $407.38 | $724.44 | $954.99 |
Medica Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $1,096.48 | Facility | None | $363.08 | $363.08 | $1,096.48 |
Medica Setting Professional Modifier None Typical Low $371.54 Median $660.69 Typical High $2,691.53 | Professional | None | $371.54 | $660.69 | $2,691.53 |
United Setting Professional Modifier None Typical Low $346.74 Median $512.86 Typical High $776.25 | Professional | None | $346.74 | $512.86 | $776.25 |
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 $181.97 Median $181.97 Typical High $239.88 | Professional | 52 · Reduced service | $181.97 | $181.97 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | 53 · Discontinued | $74.13 | $74.13 | $97.72 |
Where North Dakota sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 7th of 51
$676
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.