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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $141.25 Typical High $141.25 | Professional | None | $128.82 | $141.25 | $141.25 |
BCBS North Dakota Setting Professional Modifier None Typical Low $234.42 Median $309.03 Typical High $323.59 | Professional | None | $234.42 | $309.03 | $323.59 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $281.84 Median $371.54 Typical High $389.05 | Professional | 22 · Increased work | $281.84 | $371.54 | $389.05 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $46.77 Median $61.66 Typical High $64.57 | Professional | 55 · Aftercare only | $46.77 | $61.66 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $186.21 Median $269.15 Typical High $338.84 | Professional | None | $186.21 | $269.15 | $338.84 |
Medica Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $416.87 | Facility | None | $141.25 | $141.25 | $416.87 |
Medica Setting Professional Modifier None Typical Low $141.25 Median $251.19 Typical High $912.01 | Professional | None | $141.25 | $251.19 | $912.01 |
United Setting Professional Modifier None Typical Low $138.04 Median $223.87 Typical High $295.12 | Professional | None | $138.04 | $223.87 | $295.12 |
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 $67.61 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $67.61 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $26.92 | $28.18 | $28.18 |
Where North Dakota sits
The same service costs 3.0 times more in Minnesota than in Kentucky. 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· 2nd of 51
$263
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.