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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $26.92 Typical High $30.20 | Professional | None | $19.95 | $26.92 | $30.20 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $37.15 Median $50.12 Typical High $54.95 | Professional | 22 · Increased work | $37.15 | $50.12 | $54.95 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.17 Median $8.32 Typical High $9.12 | Professional | 55 · Aftercare only | $6.17 | $8.32 | $9.12 |
Cigna Setting Professional Modifier None Typical Low $27.54 Median $38.90 Typical High $48.98 | Professional | None | $27.54 | $38.90 | $48.98 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $26.92 Typical High $79.43 | Facility | None | $25.70 | $26.92 | $79.43 |
Medica Setting Professional Modifier None Typical Low $26.92 Median $53.70 Typical High $436.52 | Professional | None | $26.92 | $53.70 | $436.52 |
United Setting Professional Modifier None Typical Low $26.92 Median $47.86 Typical High $56.23 | Professional | None | $26.92 | $47.86 | $56.23 |
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 $10.00 Median $13.49 Typical High $13.49 | Professional | 52 · Reduced service | $10.00 | $13.49 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $5.37 Typical High $5.37 | Professional | 53 · Discontinued | $4.07 | $5.37 | $5.37 |
Where North Dakota sits
The same service costs 2.6 times more in Minnesota than in Pennsylvania. 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· 14th of 51
$33.88
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.