How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $93.33 Median $102.33 Typical High $537.03 | Facility | None | $93.33 | $102.33 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $213.80 | Professional | None | $87.10 | $93.33 | $213.80 |
BCBS North Dakota Setting Professional Modifier None Typical Low $162.18 Median $208.93 Typical High $245.47 | Professional | None | $162.18 | $208.93 | $245.47 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $194.98 Median $251.19 Typical High $295.12 | Professional | 22 · Increased work | $194.98 | $251.19 | $295.12 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $32.36 Median $41.69 Typical High $48.98 | Professional | 55 · Aftercare only | $32.36 | $41.69 | $48.98 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $154.88 Typical High $257.04 | Professional | None | $87.10 | $154.88 | $257.04 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $251.19 Typical High $346.74 | Facility | None | $93.33 | $251.19 | $346.74 |
Medica Setting Professional Modifier None Typical Low $95.50 Median $173.78 Typical High $741.31 | Professional | None | $95.50 | $173.78 | $741.31 |
United Setting Professional Modifier None Typical Low $95.50 Median $158.49 Typical High $204.17 | Professional | None | $95.50 | $158.49 | $204.17 |
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 $43.65 Median $46.77 Typical High $54.95 | Professional | 52 · Reduced service | $43.65 | $46.77 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $18.62 Typical High $21.88 | Professional | 53 · Discontinued | $17.38 | $18.62 | $21.88 |
Where North Dakota sits
The same service costs 3.8 times more in Alaska than in Utah. 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· 5th of 51
$174
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.