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 $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $89.13 Typical High $120.23 | Professional | None | $79.43 | $89.13 | $120.23 |
BCBS North Dakota Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $177.83 | Professional | None | $123.03 | $165.96 | $177.83 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $147.91 Median $199.53 Typical High $213.80 | Professional | 22 · Increased work | $147.91 | $199.53 | $213.80 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $24.55 Median $33.11 Typical High $35.48 | Professional | 55 · Aftercare only | $24.55 | $33.11 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $194.98 | Professional | None | $109.65 | $158.49 | $194.98 |
Medica Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $269.15 | Facility | None | $89.13 | $89.13 | $269.15 |
Medica Setting Professional Modifier None Typical Low $89.13 Median $181.97 Typical High $1,548.82 | Professional | None | $89.13 | $181.97 | $1,548.82 |
United Setting Professional Modifier None Typical Low $89.13 Median $158.49 Typical High $186.21 | Professional | None | $89.13 | $158.49 | $186.21 |
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 $39.81 Median $44.67 Typical High $44.67 | Professional | 52 · Reduced service | $39.81 | $44.67 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $17.78 Typical High $17.78 | Professional | 53 · Discontinued | $15.85 | $17.78 | $17.78 |
Where North Dakota sits
The same service costs 2.8 times more in Minnesota 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· 7th of 51
$158
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.