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 $23.99 Median $23.99 Typical High $34.67 | Facility | None | $23.99 | $23.99 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $34.67 | Professional | None | $23.99 | $23.99 | $34.67 |
BCBS North Dakota Setting Professional Modifier None Typical Low $52.48 Median $69.18 Typical High $69.18 | Professional | None | $52.48 | $69.18 | $69.18 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $63.10 Median $83.18 Typical High $83.18 | Professional | 22 · Increased work | $63.10 | $83.18 | $83.18 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $10.47 Median $13.80 Typical High $13.80 | Professional | 55 · Aftercare only | $10.47 | $13.80 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $54.95 Typical High $85.11 | Professional | None | $21.88 | $54.95 | $85.11 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $72.44 | Facility | None | $23.99 | $23.99 | $72.44 |
Medica Setting Professional Modifier None Typical Low $19.95 Median $33.11 Typical High $162.18 | Professional | None | $19.95 | $33.11 | $162.18 |
United Setting Professional Modifier None Typical Low $20.42 Median $30.20 Typical High $50.12 | Professional | None | $20.42 | $30.20 | $50.12 |
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 $12.02 Median $12.02 Typical High $16.98 | Professional | 52 · Reduced service | $12.02 | $12.02 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $6.92 | Professional | 53 · Discontinued | $4.79 | $4.79 | $6.92 |
Where North Dakota sits
The same service costs 2.8 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· 2nd of 51
$48.98
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.