How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $33.88 Median $34.67 Typical High $77.62 | Facility | None | $33.88 | $34.67 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $100.00 | Professional | None | $30.20 | $43.65 | $100.00 |
BCBS North Dakota Setting Professional Modifier None Typical Low $53.70 Median $87.10 Typical High $323.59 | Professional | None | $53.70 | $87.10 | $323.59 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $64.57 Median $104.71 Typical High $389.05 | Professional | 22 · Increased work | $64.57 | $104.71 | $389.05 |
BCBS North Dakota Setting Professional Modifier 50 · Both sides Typical Low $107.15 Median $173.78 Typical High $645.65 | Professional | 50 · Both sides | $107.15 | $173.78 | $645.65 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $10.72 Median $17.38 Typical High $64.57 | Professional | 55 · Aftercare only | $10.72 | $17.38 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $83.18 Typical High $288.40 | Professional | None | $33.11 | $83.18 | $288.40 |
Medica Setting Facility Modifier None Typical Low $33.88 Median $77.62 Typical High $181.97 | Facility | None | $33.88 | $77.62 | $181.97 |
Medica Setting Professional Modifier None Typical Low $79.43 Median $501.19 Typical High $707.95 | Professional | None | $79.43 | $501.19 | $707.95 |
United Setting Professional Modifier None Typical Low $34.67 Median $69.18 Typical High $134.90 | Professional | None | $34.67 | $69.18 | $134.90 |
4 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 Facility Modifier 52 · Reduced service Typical Low $16.98 Median $17.38 Typical High $38.90 | Facility | 52 · Reduced service | $16.98 | $17.38 | $38.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.76 Median $6.92 Typical High $15.49 | Facility | 53 · Discontinued | $6.76 | $6.92 | $15.49 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $15.14 Median $21.88 Typical High $60.26 | Professional | 52 · Reduced service | $15.14 | $21.88 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $8.71 Typical High $23.99 | Professional | 53 · Discontinued | $6.03 | $8.71 | $23.99 |
Where North Dakota sits
The same service costs 4.2 times more in Washington than in Maryland. 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· 15th of 51
$79.43
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.