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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $35.48 Typical High $44.67 | Professional | None | $33.11 | $35.48 | $44.67 |
BCBS North Dakota Setting Professional Modifier None Typical Low $77.62 Median $95.50 Typical High $95.50 | Professional | None | $77.62 | $95.50 | $95.50 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $93.33 Median $114.82 Typical High $114.82 | Professional | 22 · Increased work | $93.33 | $114.82 | $114.82 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $19.05 Typical High $19.05 | Professional | 55 · Aftercare only | $15.49 | $19.05 | $19.05 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $57.54 Typical High $70.79 | Professional | None | $56.23 | $57.54 | $70.79 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $107.15 | Facility | None | $35.48 | $35.48 | $107.15 |
Medica Setting Professional Modifier None Typical Low $30.20 Median $46.77 Typical High $234.42 | Professional | None | $30.20 | $46.77 | $234.42 |
United Setting Professional Modifier None Typical Low $30.20 Median $41.69 Typical High $70.79 | Professional | None | $30.20 | $41.69 | $70.79 |
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 $16.22 Median $17.78 Typical High $22.39 | Professional | 52 · Reduced service | $16.22 | $17.78 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.08 Typical High $8.91 | Professional | 53 · Discontinued | $6.61 | $7.08 | $8.91 |
Where North Dakota sits
The same service costs 3.4 times more in Alaska 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
$70.79
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.