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 $776.25 Median $776.25 Typical High $776.25 | Facility | None | $776.25 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $776.25 Typical High $851.14 | Professional | None | $741.31 | $776.25 | $851.14 |
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 $1,071.52 Median $1,584.89 Typical High $1,949.84 | Professional | None | $1,071.52 | $1,584.89 | $1,949.84 |
Medica Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $2,344.23 | Facility | None | $776.25 | $776.25 | $2,344.23 |
Medica Setting Professional Modifier None Typical Low $758.58 Median $1,445.44 Typical High $4,677.35 | Professional | None | $758.58 | $1,445.44 | $4,677.35 |
United Setting Professional Modifier None Typical Low $758.58 Median $1,348.96 Typical High $1,698.24 | Professional | None | $758.58 | $1,348.96 | $1,698.24 |
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 $371.54 Median $389.05 Typical High $446.68 | Professional | 52 · Reduced service | $371.54 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $147.91 Median $154.88 Typical High $177.83 | Professional | 53 · Discontinued | $147.91 | $154.88 | $177.83 |
Where North Dakota sits
The same service costs 4.1 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· 46th of 51
$676
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.