How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $12.02 Median $40.74 Typical High $263.03 | Facility | None | $12.02 | $40.74 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $30.20 Typical High $51.29 | Professional | None | $11.22 | $30.20 | $51.29 |
BCBS North Dakota Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $104.71 | Facility | None | $41.69 | $41.69 | $104.71 |
BCBS North Dakota Setting Professional Modifier None Typical Low $19.95 Median $32.36 Typical High $89.13 | Professional | None | $19.95 | $32.36 | $89.13 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $23.99 Median $38.90 Typical High $107.15 | Professional | 22 · Increased work | $23.99 | $38.90 | $107.15 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $35.48 Typical High $93.33 | Professional | None | $14.13 | $35.48 | $93.33 |
Medica Setting Facility Modifier None Typical Low $12.02 Median $35.48 Typical High $69.18 | Facility | None | $12.02 | $35.48 | $69.18 |
Medica Setting Professional Modifier None Typical Low $44.67 Median $74.13 Typical High $245.47 | Professional | None | $44.67 | $74.13 | $245.47 |
United Setting Professional Modifier None Typical Low $12.30 Median $36.31 Typical High $81.28 | Professional | None | $12.30 | $36.31 | $81.28 |
4 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 Facility Modifier 52 · Reduced service Typical Low $5.89 Median $6.31 Typical High $20.42 | Facility | 52 · Reduced service | $5.89 | $6.31 | $20.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $2.40 Median $2.51 Typical High $8.13 | Facility | 53 · Discontinued | $2.40 | $2.51 | $8.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $5.62 Median $8.51 Typical High $20.42 | Professional | 52 · Reduced service | $5.62 | $8.51 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $3.39 Typical High $8.32 | Professional | 53 · Discontinued | $2.24 | $3.39 | $8.32 |
Where North Dakota sits
The same service costs 2.5 times more in Kansas than in Maryland. 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· 13th of 51
$40.74
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.