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 $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
Aetna Setting Professional Modifier None Typical Low $30.90 Median $30.90 Typical High $40.74 | Professional | None | $30.90 | $30.90 | $40.74 |
BCBS North Dakota Setting Professional Modifier None Typical Low $63.10 Median $83.18 Typical High $83.18 | Professional | None | $63.10 | $83.18 | $83.18 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $75.86 Median $100.00 Typical High $100.00 | Professional | 22 · Increased work | $75.86 | $100.00 | $100.00 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $12.59 Median $16.60 Typical High $16.60 | Professional | 55 · Aftercare only | $12.59 | $16.60 | $16.60 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $64.57 Typical High $100.00 | Professional | None | $25.70 | $64.57 | $100.00 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $93.33 | Facility | None | $30.90 | $30.90 | $93.33 |
Medica Setting Professional Modifier None Typical Low $26.30 Median $40.74 Typical High $204.17 | Professional | None | $26.30 | $40.74 | $204.17 |
United Setting Professional Modifier None Typical Low $26.30 Median $36.31 Typical High $61.66 | Professional | None | $26.30 | $36.31 | $61.66 |
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 $15.49 Median $15.49 Typical High $20.42 | Professional | 52 · Reduced service | $15.49 | $15.49 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $6.17 Typical High $8.13 | Professional | 53 · Discontinued | $6.17 | $6.17 | $8.13 |
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
$60.26
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.