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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $51.29 | Professional | None | $36.31 | $36.31 | $51.29 |
BCBS North Dakota Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $100.00 | Professional | None | $74.13 | $100.00 | $100.00 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $89.13 Median $120.23 Typical High $120.23 | Professional | 22 · Increased work | $89.13 | $120.23 | $120.23 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $19.95 Typical High $19.95 | Professional | 55 · Aftercare only | $14.79 | $19.95 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $83.18 Typical High $128.82 | Professional | None | $32.36 | $83.18 | $128.82 |
Medica Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $109.65 | Facility | None | $36.31 | $36.31 | $109.65 |
Medica Setting Professional Modifier None Typical Low $31.62 Median $47.86 Typical High $239.88 | Professional | None | $31.62 | $47.86 | $239.88 |
United Setting Professional Modifier None Typical Low $31.62 Median $44.67 Typical High $74.13 | Professional | None | $31.62 | $44.67 | $74.13 |
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 $18.20 Median $18.20 Typical High $25.70 | Professional | 52 · Reduced service | $18.20 | $18.20 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $10.23 | Professional | 53 · Discontinued | $7.41 | $7.41 | $10.23 |
Where North Dakota sits
The same service costs 3.5 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
$74.13
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.