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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $158.49 Typical High $218.78 | Professional | None | $154.88 | $158.49 | $218.78 |
BCBS North Dakota Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $398.11 | Professional | None | $234.42 | $316.23 | $398.11 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $281.84 Median $380.19 Typical High $478.63 | Professional | 22 · Increased work | $281.84 | $380.19 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $331.13 Typical High $436.52 | Professional | None | $199.53 | $331.13 | $436.52 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $478.63 | Facility | None | $158.49 | $158.49 | $478.63 |
Medica Setting Professional Modifier None Typical Low $177.83 Median $316.23 Typical High $977.24 | Professional | None | $177.83 | $316.23 | $977.24 |
United Setting Professional Modifier None Typical Low $162.18 Median $288.40 Typical High $371.54 | Professional | None | $162.18 | $288.40 | $371.54 |
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 $79.43 Median $79.43 Typical High $79.43 | Facility | 52 · Reduced service | $79.43 | $79.43 | $79.43 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $31.62 Median $32.36 Typical High $32.36 | Facility | 53 · Discontinued | $31.62 | $32.36 | $32.36 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | 52 · Reduced service | $79.43 | $79.43 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $32.36 Typical High $37.15 | Professional | 53 · Discontinued | $31.62 | $32.36 | $37.15 |
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
$302
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.