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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $33.11 Typical High $35.48 | Professional | None | $31.62 | $33.11 | $35.48 |
BCBS North Dakota Setting Professional Modifier None Typical Low $46.77 Median $61.66 Typical High $70.79 | Professional | None | $46.77 | $61.66 | $70.79 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $56.23 Median $74.13 Typical High $85.11 | Professional | 22 · Increased work | $56.23 | $74.13 | $85.11 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $9.33 Median $12.30 Typical High $14.45 | Professional | 55 · Aftercare only | $9.33 | $12.30 | $14.45 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $66.07 Typical High $87.10 | Professional | None | $38.02 | $66.07 | $87.10 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $100.00 | Facility | None | $33.11 | $33.11 | $100.00 |
Medica Setting Professional Modifier None Typical Low $33.88 Median $61.66 Typical High $204.17 | Professional | None | $33.88 | $61.66 | $204.17 |
United Setting Professional Modifier None Typical Low $33.88 Median $60.26 Typical High $75.86 | Professional | None | $33.88 | $60.26 | $75.86 |
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 $16.22 Median $16.60 Typical High $18.62 | Professional | 52 · Reduced service | $16.22 | $16.60 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.61 Typical High $7.41 | Professional | 53 · Discontinued | $6.46 | $6.61 | $7.41 |
Where North Dakota sits
The same service costs 3.0 times more in Alaska than in New York. 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· 7th of 51
$58.88
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.