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 $251.19 Median $257.04 Typical High $257.04 | Facility | None | $251.19 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $295.12 | Professional | None | $245.47 | $257.04 | $295.12 |
BCBS North Dakota Setting Professional Modifier None Typical Low $380.19 Median $501.19 Typical High $630.96 | Professional | None | $380.19 | $501.19 | $630.96 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $457.09 Median $602.56 Typical High $758.58 | Professional | 22 · Increased work | $457.09 | $602.56 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $537.03 Typical High $676.08 | Professional | None | $302.00 | $537.03 | $676.08 |
Medica Setting Facility Modifier None Typical Low $251.19 Median $257.04 Typical High $758.58 | Facility | None | $251.19 | $257.04 | $758.58 |
Medica Setting Professional Modifier None Typical Low $263.03 Median $512.86 Typical High $5,011.87 | Professional | None | $263.03 | $512.86 | $5,011.87 |
United Setting Professional Modifier None Typical Low $257.04 Median $467.74 Typical High $588.84 | Professional | None | $257.04 | $467.74 | $588.84 |
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 $125.89 Median $128.82 Typical High $128.82 | Facility | 52 · Reduced service | $125.89 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $51.29 Typical High $51.29 | Facility | 53 · Discontinued | $50.12 | $51.29 | $51.29 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $128.82 Typical High $147.91 | Professional | 52 · Reduced service | $125.89 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $51.29 Typical High $58.88 | Professional | 53 · Discontinued | $50.12 | $51.29 | $58.88 |
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
$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.