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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $25.12 | Professional | None | $15.85 | $15.85 | $25.12 |
BCBS North Dakota Setting Professional Modifier None Typical Low $39.81 Median $52.48 Typical High $52.48 | Professional | None | $39.81 | $52.48 | $52.48 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $46.77 Median $63.10 Typical High $63.10 | Professional | 22 · Increased work | $46.77 | $63.10 | $63.10 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $7.94 Median $10.47 Typical High $10.47 | Professional | 55 · Aftercare only | $7.94 | $10.47 | $10.47 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $39.81 Typical High $61.66 | Professional | None | $15.85 | $39.81 | $61.66 |
Medica Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $46.77 | Facility | None | $15.85 | $15.85 | $46.77 |
Medica Setting Professional Modifier None Typical Low $13.18 Median $20.42 Typical High $120.23 | Professional | None | $13.18 | $20.42 | $120.23 |
United Setting Professional Modifier None Typical Low $13.49 Median $20.89 Typical High $33.88 | Professional | None | $13.49 | $20.89 | $33.88 |
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 $7.76 Median $7.76 Typical High $12.30 | Professional | 52 · Reduced service | $7.76 | $7.76 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $5.01 | Professional | 53 · Discontinued | $3.16 | $3.16 | $5.01 |
Where North Dakota sits
The same service costs 2.6 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
$34.67
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.