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 $257.04 Median $263.03 Typical High $263.03 | Facility | None | $257.04 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $263.03 Typical High $281.84 | Professional | None | $251.19 | $263.03 | $281.84 |
BCBS North Dakota Setting Professional Modifier None Typical Low $380.19 Median $501.19 Typical High $645.65 | Professional | None | $380.19 | $501.19 | $645.65 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $457.09 Median $602.56 Typical High $776.25 | Professional | 22 · Increased work | $457.09 | $602.56 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $309.03 Median $537.03 Typical High $691.83 | Professional | None | $309.03 | $537.03 | $691.83 |
Medica Setting Facility Modifier None Typical Low $257.04 Median $263.03 Typical High $776.25 | Facility | None | $257.04 | $263.03 | $776.25 |
Medica Setting Professional Modifier None Typical Low $288.40 Median $524.81 Typical High $1,584.89 | Professional | None | $288.40 | $524.81 | $1,584.89 |
United Setting Professional Modifier None Typical Low $263.03 Median $467.74 Typical High $602.56 | Professional | None | $263.03 | $467.74 | $602.56 |
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 $128.82 Median $131.83 Typical High $131.83 | Facility | 52 · Reduced service | $128.82 | $131.83 | $131.83 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $52.48 | Facility | 53 · Discontinued | $51.29 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $131.83 Typical High $151.36 | Professional | 52 · Reduced service | $128.82 | $131.83 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $60.26 | Professional | 53 · Discontinued | $51.29 | $52.48 | $60.26 |
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
$490
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.