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 $8.51 Median $19.95 Typical High $24.55 | Facility | None | $8.51 | $19.95 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $18.62 Typical High $24.55 | Professional | None | $8.51 | $18.62 | $24.55 |
BCBS North Dakota Setting Professional Modifier None Typical Low $14.13 Median $22.91 Typical High $51.29 | Professional | None | $14.13 | $22.91 | $51.29 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $16.98 Median $27.54 Typical High $61.66 | Professional | 22 · Increased work | $16.98 | $27.54 | $61.66 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $2.82 Median $4.57 Typical High $10.23 | Professional | 55 · Aftercare only | $2.82 | $4.57 | $10.23 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $23.99 Typical High $54.95 | Professional | None | $12.02 | $23.99 | $54.95 |
Medica Setting Facility Modifier None Typical Low $8.51 Median $19.95 Typical High $33.88 | Facility | None | $8.51 | $19.95 | $33.88 |
Medica Setting Professional Modifier None Typical Low $20.42 Median $45.71 Typical High $128.82 | Professional | None | $20.42 | $45.71 | $128.82 |
United Setting Professional Modifier None Typical Low $8.71 Median $19.05 Typical High $46.77 | Professional | None | $8.71 | $19.05 | $46.77 |
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 $4.27 Median $4.37 Typical High $10.00 | Facility | 52 · Reduced service | $4.27 | $4.37 | $10.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $1.70 Median $1.78 Typical High $3.98 | Facility | 53 · Discontinued | $1.70 | $1.78 | $3.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.27 Median $9.12 Typical High $10.47 | Professional | 52 · Reduced service | $4.27 | $9.12 | $10.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $3.63 Typical High $4.27 | Professional | 53 · Discontinued | $1.70 | $3.63 | $4.27 |
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· 17th of 51
$20.42
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.