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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $204.17 Typical High $275.42 | Professional | None | $190.55 | $204.17 | $275.42 |
BCBS North Dakota Setting Professional Modifier None Typical Low $295.12 Median $398.11 Typical High $426.58 | Professional | None | $295.12 | $398.11 | $426.58 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $354.81 Median $478.63 Typical High $512.86 | Professional | 22 · Increased work | $354.81 | $478.63 | $512.86 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $60.26 Median $79.43 Typical High $85.11 | Professional | 55 · Aftercare only | $60.26 | $79.43 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $380.19 Typical High $478.63 | Professional | None | $263.03 | $380.19 | $478.63 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $602.56 | Facility | None | $204.17 | $204.17 | $602.56 |
Medica Setting Professional Modifier None Typical Low $204.17 Median $416.87 Typical High $1,737.80 | Professional | None | $204.17 | $416.87 | $1,737.80 |
United Setting Professional Modifier None Typical Low $204.17 Median $363.08 Typical High $426.58 | Professional | None | $204.17 | $363.08 | $426.58 |
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 $95.50 Median $102.33 Typical High $102.33 | Professional | 52 · Reduced service | $95.50 | $102.33 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | 53 · Discontinued | $38.90 | $40.74 | $40.74 |
Where North Dakota sits
The same service costs 2.5 times more in Minnesota 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· 5th of 51
$372
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.