How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $109.65 Typical High $138.04 | Professional | None | $104.71 | $109.65 | $138.04 |
BCBS North Dakota Setting Professional Modifier None Typical Low $154.88 Median $208.93 Typical High $263.03 | Professional | None | $154.88 | $208.93 | $263.03 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $186.21 Median $251.19 Typical High $316.23 | Professional | 22 · Increased work | $186.21 | $251.19 | $316.23 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $30.90 Median $41.69 Typical High $52.48 | Professional | 55 · Aftercare only | $30.90 | $41.69 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $218.78 Typical High $281.84 | Professional | None | $131.83 | $218.78 | $281.84 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $323.59 | Facility | None | $109.65 | $109.65 | $323.59 |
Medica Setting Professional Modifier None Typical Low $114.82 Median $204.17 Typical High $660.69 | Professional | None | $114.82 | $204.17 | $660.69 |
United Setting Professional Modifier None Typical Low $114.82 Median $204.17 Typical High $251.19 | Professional | None | $114.82 | $204.17 | $251.19 |
2 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 Professional Modifier 52 · Reduced service Typical Low $53.70 Median $53.70 Typical High $66.07 | Professional | 52 · Reduced service | $53.70 | $53.70 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.88 Typical High $26.92 | Professional | 53 · Discontinued | $21.38 | $21.88 | $26.92 |
Where North Dakota sits
The same service costs 2.7 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· 3rd of 51
$209
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.