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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $309.03 | Professional | None | $138.04 | $138.04 | $309.03 |
BCBS North Dakota Setting Professional Modifier None Typical Low $309.03 Median $446.68 Typical High $524.81 | Professional | None | $309.03 | $446.68 | $524.81 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $371.54 Median $537.03 Typical High $630.96 | Professional | 22 · Increased work | $371.54 | $537.03 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $398.11 Typical High $562.34 | Professional | None | $302.00 | $398.11 | $562.34 |
Medica Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $436.52 | Facility | None | $138.04 | $138.04 | $436.52 |
Medica Setting Professional Modifier None Typical Low $194.98 Median $275.42 Typical High $1,348.96 | Professional | None | $194.98 | $275.42 | $1,348.96 |
United Setting Professional Modifier None Typical Low $181.97 Median $295.12 Typical High $602.56 | Professional | None | $181.97 | $295.12 | $602.56 |
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 $69.18 Median $69.18 Typical High $154.88 | Professional | 52 · Reduced service | $69.18 | $69.18 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $61.66 | Professional | 53 · Discontinued | $28.18 | $28.18 | $61.66 |
Where North Dakota sits
The same service costs 4.2 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· 9th of 51
$398
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.