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 $48.98 Median $48.98 Typical High $67.61 | Facility | None | $48.98 | $48.98 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $67.61 | Professional | None | $48.98 | $48.98 | $67.61 |
BCBS North Dakota Setting Professional Modifier None Typical Low $107.15 Median $144.54 Typical High $144.54 | Professional | None | $107.15 | $144.54 | $144.54 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $128.82 Median $173.78 Typical High $173.78 | Professional | 22 · Increased work | $128.82 | $173.78 | $173.78 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $21.38 Median $28.84 Typical High $28.84 | Professional | 55 · Aftercare only | $21.38 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $107.15 Typical High $165.96 | Professional | None | $42.66 | $107.15 | $165.96 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $147.91 | Facility | None | $48.98 | $48.98 | $147.91 |
Medica Setting Professional Modifier None Typical Low $41.69 Median $66.07 Typical High $323.59 | Professional | None | $41.69 | $66.07 | $323.59 |
United Setting Professional Modifier None Typical Low $41.69 Median $60.26 Typical High $102.33 | Professional | None | $41.69 | $60.26 | $102.33 |
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 $24.55 Median $24.55 Typical High $33.88 | Professional | 52 · Reduced service | $24.55 | $24.55 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $13.49 | Professional | 53 · Discontinued | $9.77 | $9.77 | $13.49 |
Where North Dakota sits
The same service costs 2.6 times more in Alaska than in Indiana. 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
$100
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.