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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $57.54 | Professional | None | $44.67 | $44.67 | $57.54 |
BCBS North Dakota Setting Professional Modifier None Typical Low $87.10 Median $114.82 Typical High $114.82 | Professional | None | $87.10 | $114.82 | $114.82 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $104.71 Median $138.04 Typical High $138.04 | Professional | 22 · Increased work | $104.71 | $138.04 | $138.04 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $17.38 Median $22.91 Typical High $22.91 | Professional | 55 · Aftercare only | $17.38 | $22.91 | $22.91 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $91.20 Typical High $141.25 | Professional | None | $35.48 | $91.20 | $141.25 |
Medica Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $134.90 | Facility | None | $44.67 | $44.67 | $134.90 |
Medica Setting Professional Modifier None Typical Low $38.02 Median $60.26 Typical High $295.12 | Professional | None | $38.02 | $60.26 | $295.12 |
United Setting Professional Modifier None Typical Low $38.02 Median $50.12 Typical High $93.33 | Professional | None | $38.02 | $50.12 | $93.33 |
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 $22.39 Median $22.39 Typical High $28.84 | Professional | 52 · Reduced service | $22.39 | $22.39 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $11.48 | Professional | 53 · Discontinued | $8.91 | $8.91 | $11.48 |
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
$85.11
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.