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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $38.02 Typical High $51.29 | Professional | None | $34.67 | $38.02 | $51.29 |
BCBS North Dakota Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $91.20 | Professional | None | $54.95 | $72.44 | $91.20 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $66.07 Median $85.11 Typical High $109.65 | Professional | 22 · Increased work | $66.07 | $85.11 | $109.65 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $10.96 Median $14.45 Typical High $18.20 | Professional | 55 · Aftercare only | $10.96 | $14.45 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $60.26 Typical High $100.00 | Professional | None | $37.15 | $60.26 | $100.00 |
Medica Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $114.82 | Facility | None | $38.02 | $38.02 | $114.82 |
Medica Setting Professional Modifier None Typical Low $38.90 Median $75.86 Typical High $229.09 | Professional | None | $38.90 | $75.86 | $229.09 |
United Setting Professional Modifier None Typical Low $38.90 Median $64.57 Typical High $87.10 | Professional | None | $38.90 | $64.57 | $87.10 |
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 $17.38 Median $19.05 Typical High $21.38 | Professional | 52 · Reduced service | $17.38 | $19.05 | $21.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $7.59 Typical High $8.51 | Professional | 53 · Discontinued | $6.92 | $7.59 | $8.51 |
Where North Dakota sits
The same service costs 2.7 times more in Alaska than in New York. 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
$70.79
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.