How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $186.21 | Professional | None | $131.83 | $134.90 | $186.21 |
BCBS North Dakota Setting Professional Modifier None Typical Low $194.98 Median $263.03 Typical High $338.84 | Professional | None | $194.98 | $263.03 | $338.84 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $234.42 Median $316.23 Typical High $398.11 | Professional | 22 · Increased work | $234.42 | $316.23 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $281.84 Typical High $363.08 | Professional | None | $165.96 | $281.84 | $363.08 |
Medica Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $398.11 | Facility | None | $134.90 | $134.90 | $398.11 |
Medica Setting Professional Modifier None Typical Low $147.91 Median $269.15 Typical High $1,258.93 | Professional | None | $147.91 | $269.15 | $1,258.93 |
United Setting Professional Modifier None Typical Low $138.04 Median $245.47 Typical High $309.03 | Professional | None | $138.04 | $245.47 | $309.03 |
4 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 Facility Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $67.61 | Facility | 52 · Reduced service | $67.61 | $67.61 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $26.92 Median $27.54 Typical High $27.54 | Facility | 53 · Discontinued | $26.92 | $27.54 | $27.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $77.62 | Professional | 52 · Reduced service | $67.61 | $67.61 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $26.92 | $27.54 | $31.62 |
Where North Dakota sits
The same service costs 2.8 times more in Alaska 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· 5th of 51
$257
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.