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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.70 Typical High $26.92 | Professional | None | $25.12 | $25.70 | $26.92 |
BCBS North Dakota Setting Professional Modifier None Typical Low $43.65 Median $57.54 Typical High $61.66 | Professional | None | $43.65 | $57.54 | $61.66 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $52.48 Median $69.18 Typical High $74.13 | Professional | 22 · Increased work | $52.48 | $69.18 | $74.13 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $8.71 Median $11.48 Typical High $12.30 | Professional | 55 · Aftercare only | $8.71 | $11.48 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $48.98 Typical High $66.07 | Professional | None | $33.88 | $48.98 | $66.07 |
Medica Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $77.62 | Facility | None | $25.70 | $25.70 | $77.62 |
Medica Setting Professional Modifier None Typical Low $23.99 Median $45.71 Typical High $177.83 | Professional | None | $23.99 | $45.71 | $177.83 |
United Setting Professional Modifier None Typical Low $23.99 Median $37.15 Typical High $51.29 | Professional | None | $23.99 | $37.15 | $51.29 |
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 $12.88 Median $12.88 Typical High $13.18 | Professional | 52 · Reduced service | $12.88 | $12.88 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.37 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.37 |
Where North Dakota sits
The same service costs 2.6 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· 3rd of 51
$48.98
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.