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 $3.80 Median $3.80 Typical High $245.47 | Facility | None | $3.80 | $3.80 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $4.90 | Professional | None | $3.80 | $3.80 | $4.90 |
BCBS North Dakota Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $117.49 | Facility | None | $75.86 | $75.86 | $117.49 |
BCBS North Dakota Setting Professional Modifier None Typical Low $7.59 Median $10.23 Typical High $10.47 | Professional | None | $7.59 | $10.23 | $10.47 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $9.12 Median $12.30 Typical High $12.59 | Professional | 22 · Increased work | $9.12 | $12.30 | $12.59 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $1.51 Median $2.04 Typical High $2.09 | Professional | 55 · Aftercare only | $1.51 | $2.04 | $2.09 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $8.13 Typical High $10.23 | Professional | None | $5.75 | $8.13 | $10.23 |
Medica Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $11.22 | Facility | None | $3.80 | $3.80 | $11.22 |
Medica Setting Professional Modifier None Typical Low $3.98 Median $8.13 Typical High $154.88 | Professional | None | $3.98 | $8.13 | $154.88 |
United Setting Professional Modifier None Typical Low $3.89 Median $6.31 Typical High $8.91 | Professional | None | $3.89 | $6.31 | $8.91 |
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 $1.91 Median $1.91 Typical High $2.19 | Professional | 52 · Reduced service | $1.91 | $1.91 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.76 Median $0.76 Typical High $0.87 | Professional | 53 · Discontinued | $0.76 | $0.76 | $0.87 |
Where North Dakota sits
The same service costs 2.3 times more in Kansas than in Pennsylvania. 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
$8.51
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.