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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $467.74 Typical High $537.03 | Professional | None | $457.09 | $467.74 | $537.03 |
BCBS North Dakota Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $478.63 | Professional | None | $309.03 | $407.38 | $478.63 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $371.54 Median $489.78 Typical High $575.44 | Professional | 22 · Increased work | $371.54 | $489.78 | $575.44 |
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 $467.74 Median $660.69 Typical High $1,737.80 | Facility | None | $467.74 | $660.69 | $1,737.80 |
Medica Setting Professional Modifier None Typical Low $457.09 Median $870.96 Typical High $2,818.38 | Professional | None | $457.09 | $870.96 | $2,818.38 |
United Setting Professional Modifier None Typical Low $457.09 Median $812.83 Typical High $1,023.29 | Professional | None | $457.09 | $812.83 | $1,023.29 |
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 $229.09 Median $234.42 Typical High $269.15 | Professional | 52 · Reduced service | $229.09 | $234.42 | $269.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $93.33 Typical High $107.15 | Professional | 53 · Discontinued | $91.20 | $93.33 | $107.15 |
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· 38th of 51
$479
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.