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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $234.42 | Professional | None | $93.33 | $93.33 | $234.42 |
BCBS North Dakota Setting Professional Modifier None Typical Low $181.97 Median $257.04 Typical High $309.03 | Professional | None | $181.97 | $257.04 | $309.03 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $213.80 Median $309.03 Typical High $371.54 | Professional | 22 · Increased work | $213.80 | $309.03 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $269.15 Typical High $380.19 | Professional | None | $204.17 | $269.15 | $380.19 |
Medica Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $354.81 | Facility | None | $93.33 | $93.33 | $354.81 |
Medica Setting Professional Modifier None Typical Low $123.03 Median $199.53 Typical High $1,000.00 | Professional | None | $123.03 | $199.53 | $1,000.00 |
United Setting Professional Modifier None Typical Low $120.23 Median $204.17 Typical High $478.63 | Professional | None | $120.23 | $204.17 | $478.63 |
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 $46.77 Median $46.77 Typical High $117.49 | Professional | 52 · Reduced service | $46.77 | $46.77 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $47.86 | Professional | 53 · Discontinued | $18.62 | $18.62 | $47.86 |
Where North Dakota sits
The same service costs 5.8 times more in New Hampshire 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· 20th of 51
$234
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.