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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $24.55 Typical High $26.92 | Professional | None | $23.99 | $24.55 | $26.92 |
BCBS North Dakota Setting Professional Modifier None Typical Low $39.81 Median $53.70 Typical High $57.54 | Professional | None | $39.81 | $53.70 | $57.54 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $47.86 Median $64.57 Typical High $69.18 | Professional | 22 · Increased work | $47.86 | $64.57 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $50.12 Typical High $61.66 | Professional | None | $34.67 | $50.12 | $61.66 |
Medica Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $72.44 | Facility | None | $24.55 | $24.55 | $72.44 |
Medica Setting Professional Modifier None Typical Low $28.18 Median $51.29 Typical High $151.36 | Professional | None | $28.18 | $51.29 | $151.36 |
United Setting Professional Modifier None Typical Low $25.70 Median $45.71 Typical High $53.70 | Professional | None | $25.70 | $45.71 | $53.70 |
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 $12.30 Median $12.30 Typical High $12.59 | Professional | 52 · Reduced service | $12.30 | $12.30 | $12.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $4.90 Typical High $5.01 | Professional | 53 · Discontinued | $4.90 | $4.90 | $5.01 |
Where North Dakota sits
The same service costs 2.8 times more in Alaska than in Florida. 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· 4th of 51
$47.86
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.