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 $407.38 Median $416.87 Typical High $416.87 | Facility | None | $407.38 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $416.87 Typical High $478.63 | Professional | None | $407.38 | $416.87 | $478.63 |
BCBS North Dakota Setting Professional Modifier None Typical Low $602.56 Median $812.83 Typical High $1,023.29 | Professional | None | $602.56 | $812.83 | $1,023.29 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $724.44 Median $977.24 Typical High $1,230.27 | Professional | 22 · Increased work | $724.44 | $977.24 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $851.14 Typical High $1,096.48 | Professional | None | $489.78 | $851.14 | $1,096.48 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $416.87 Typical High $1,230.27 | Facility | None | $407.38 | $416.87 | $1,230.27 |
Medica Setting Professional Modifier None Typical Low $426.58 Median $831.76 Typical High $10,000.00 | Professional | None | $426.58 | $831.76 | $10,000.00 |
United Setting Professional Modifier None Typical Low $416.87 Median $741.31 Typical High $954.99 | Professional | None | $416.87 | $741.31 | $954.99 |
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 $204.17 Median $208.93 Typical High $208.93 | Facility | 52 · Reduced service | $204.17 | $208.93 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $81.28 Median $83.18 Typical High $83.18 | Facility | 53 · Discontinued | $81.28 | $83.18 | $83.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $208.93 Typical High $239.88 | Professional | 52 · Reduced service | $204.17 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $83.18 Typical High $95.50 | Professional | 53 · Discontinued | $81.28 | $83.18 | $95.50 |
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
$776
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.