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 $933.25 Median $933.25 Typical High $933.25 | Facility | None | $933.25 | $933.25 | $933.25 |
Aetna Setting Professional Modifier None Typical Low $870.96 Median $933.25 Typical High $1,023.29 | Professional | None | $870.96 | $933.25 | $1,023.29 |
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 $1,258.93 Median $1,862.09 Typical High $2,344.23 | Professional | None | $1,258.93 | $1,862.09 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $933.25 Median $1,230.27 Typical High $1,862.09 | Facility | None | $933.25 | $1,230.27 | $1,862.09 |
Medica Setting Professional Modifier None Typical Low $870.96 Median $1,737.80 Typical High $5,495.41 | Professional | None | $870.96 | $1,737.80 | $5,495.41 |
United Setting Professional Modifier None Typical Low $851.14 Median $1,513.56 Typical High $2,041.74 | Professional | None | $851.14 | $1,513.56 | $2,041.74 |
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 $436.52 Median $467.74 Typical High $537.03 | Professional | 52 · Reduced service | $436.52 | $467.74 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $173.78 Median $186.21 Typical High $213.80 | Professional | 53 · Discontinued | $173.78 | $186.21 | $213.80 |
Where North Dakota sits
The same service costs 2.6 times more in Nebraska than in North Dakota. 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· 51st of 51
$724
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.