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 $23.99 Median $23.99 Typical High $51.29 | Facility | None | $23.99 | $23.99 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $50.12 Typical High $60.26 | Professional | None | $23.99 | $50.12 | $60.26 |
BCBS North Dakota Setting Professional Modifier None Typical Low $40.74 Median $64.57 Typical High $128.82 | Professional | None | $40.74 | $64.57 | $128.82 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $48.98 Median $77.62 Typical High $154.88 | Professional | 22 · Increased work | $48.98 | $77.62 | $154.88 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $12.88 Typical High $25.70 | Professional | 55 · Aftercare only | $8.13 | $12.88 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $61.66 Typical High $144.54 | Professional | None | $33.88 | $61.66 | $144.54 |
Medica Setting Facility Modifier None Typical Low $23.99 Median $51.29 Typical High $87.10 | Facility | None | $23.99 | $51.29 | $87.10 |
Medica Setting Professional Modifier None Typical Low $51.29 Median $120.23 Typical High $323.59 | Professional | None | $51.29 | $120.23 | $323.59 |
United Setting Professional Modifier None Typical Low $24.55 Median $50.12 Typical High $117.49 | Professional | None | $24.55 | $50.12 | $117.49 |
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 $12.02 Median $12.59 Typical High $25.70 | Facility | 52 · Reduced service | $12.02 | $12.59 | $25.70 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $4.79 Median $5.01 Typical High $10.23 | Facility | 53 · Discontinued | $4.79 | $5.01 | $10.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.02 Median $23.44 Typical High $26.92 | Professional | 52 · Reduced service | $12.02 | $23.44 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $9.33 Typical High $10.72 | Professional | 53 · Discontinued | $4.79 | $9.33 | $10.72 |
Where North Dakota sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 10th of 51
$53.70
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.