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 $22.91 Median $24.55 Typical High $69.18 | Facility | None | $22.91 | $24.55 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $51.29 Typical High $83.18 | Professional | None | $22.91 | $51.29 | $83.18 |
BCBS North Dakota Setting Professional Modifier None Typical Low $33.11 Median $63.10 Typical High $177.83 | Professional | None | $33.11 | $63.10 | $177.83 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $39.81 Median $75.86 Typical High $213.80 | Professional | 22 · Increased work | $39.81 | $75.86 | $213.80 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.61 Median $12.59 Typical High $35.48 | Professional | 55 · Aftercare only | $6.61 | $12.59 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $69.18 Typical High $186.21 | Professional | None | $37.15 | $69.18 | $186.21 |
Medica Setting Facility Modifier None Typical Low $22.91 Median $69.18 Typical High $117.49 | Facility | None | $22.91 | $69.18 | $117.49 |
Medica Setting Professional Modifier None Typical Low $70.79 Median $141.25 Typical High $436.52 | Professional | None | $70.79 | $141.25 | $436.52 |
United Setting Professional Modifier None Typical Low $25.12 Median $66.07 Typical High $141.25 | Professional | None | $25.12 | $66.07 | $141.25 |
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 $11.48 Median $12.30 Typical High $34.67 | Facility | 52 · Reduced service | $11.48 | $12.30 | $34.67 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.57 Median $4.90 Typical High $13.80 | Facility | 53 · Discontinued | $4.57 | $4.90 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $11.48 Median $25.70 Typical High $41.69 | Professional | 52 · Reduced service | $11.48 | $25.70 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $10.23 Typical High $16.60 | Professional | 53 · Discontinued | $4.57 | $10.23 | $16.60 |
Where North Dakota sits
The same service costs 3.9 times more in Hawaii than in Washington, DC. 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
$69.18
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.