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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $53.70 | Professional | None | $38.02 | $38.02 | $53.70 |
BCBS North Dakota Setting Professional Modifier None Typical Low $81.28 Median $109.65 Typical High $109.65 | Professional | None | $81.28 | $109.65 | $109.65 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $97.72 Median $131.83 Typical High $131.83 | Professional | 22 · Increased work | $97.72 | $131.83 | $131.83 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $16.22 Median $21.88 Typical High $21.88 | Professional | 55 · Aftercare only | $16.22 | $21.88 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $87.10 Typical High $131.83 | Professional | None | $33.88 | $87.10 | $131.83 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $114.82 | Facility | None | $38.02 | $38.02 | $114.82 |
Medica Setting Professional Modifier None Typical Low $32.36 Median $61.66 Typical High $257.04 | Professional | None | $32.36 | $61.66 | $257.04 |
United Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $77.62 | Professional | None | $33.11 | $46.77 | $77.62 |
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 $19.05 Median $19.05 Typical High $26.92 | Professional | 52 · Reduced service | $19.05 | $19.05 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $10.72 | Professional | 53 · Discontinued | $7.76 | $7.76 | $10.72 |
Where North Dakota sits
The same service costs 2.9 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
$77.62
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.