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 $194.98 Median $331.13 Typical High $602.56 | Facility | None | $194.98 | $331.13 | $602.56 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $194.98 Typical High $489.78 | Professional | None | $190.55 | $194.98 | $489.78 |
BCBS North Dakota Setting Facility Modifier None Typical Low $380.19 Median $645.65 Typical High $741.31 | Facility | None | $380.19 | $645.65 | $741.31 |
BCBS North Dakota Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $549.54 | Professional | None | $398.11 | $512.86 | $549.54 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $478.63 Median $616.60 Typical High $660.69 | Professional | 22 · Increased work | $478.63 | $616.60 | $660.69 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $79.43 Median $102.33 Typical High $109.65 | Professional | 55 · Aftercare only | $79.43 | $102.33 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $645.65 | Professional | None | $354.81 | $501.19 | $645.65 |
Medica Setting Facility Modifier None Typical Low $177.83 Median $257.04 Typical High $660.69 | Facility | None | $177.83 | $257.04 | $660.69 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $354.81 Typical High $1,445.44 | Professional | None | $177.83 | $354.81 | $1,445.44 |
United Setting Professional Modifier None Typical Low $181.97 Median $338.84 Typical High $398.11 | Professional | None | $181.97 | $338.84 | $398.11 |
1 more rate 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 $95.50 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $95.50 | $97.72 | $97.72 |
Where North Dakota sits
The same service costs 3.2 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· 2nd of 51
$447
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.