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 $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $489.78 Typical High $549.54 | Professional | None | $446.68 | $489.78 | $549.54 |
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 $707.95 Median $1,047.13 Typical High $1,318.26 | Professional | None | $707.95 | $1,047.13 | $1,318.26 |
Medica Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $1,445.44 | Facility | None | $489.78 | $489.78 | $1,445.44 |
Medica Setting Professional Modifier None Typical Low $416.87 Median $870.96 Typical High $2,818.38 | Professional | None | $416.87 | $870.96 | $2,818.38 |
United Setting Professional Modifier None Typical Low $416.87 Median $741.31 Typical High $1,071.52 | Professional | None | $416.87 | $741.31 | $1,071.52 |
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 $223.87 Median $239.88 Typical High $275.42 | Professional | 52 · Reduced service | $223.87 | $239.88 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $97.72 Typical High $109.65 | Professional | 53 · Discontinued | $91.20 | $97.72 | $109.65 |
Where North Dakota sits
The same service costs 4.8 times more in Nebraska than in Arkansas. 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· 50th of 51
$389
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.