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 $40.74 Median $41.69 Typical High $50.12 | Facility | None | $40.74 | $41.69 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $83.18 | Professional | None | $40.74 | $50.12 | $83.18 |
BCBS North Dakota Setting Professional Modifier None Typical Low $60.26 Median $89.13 Typical High $120.23 | Professional | None | $60.26 | $89.13 | $120.23 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $72.44 Median $107.15 Typical High $144.54 | Professional | 22 · Increased work | $72.44 | $107.15 | $144.54 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $12.02 Median $17.78 Typical High $23.99 | Professional | 55 · Aftercare only | $12.02 | $17.78 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $83.18 Typical High $128.82 | Professional | None | $45.71 | $83.18 | $128.82 |
Medica Setting Facility Modifier None Typical Low $40.74 Median $50.12 Typical High $123.03 | Facility | None | $40.74 | $50.12 | $123.03 |
Medica Setting Professional Modifier None Typical Low $54.95 Median $100.00 Typical High $478.63 | Professional | None | $54.95 | $100.00 | $478.63 |
United Setting Professional Modifier None Typical Low $44.67 Median $79.43 Typical High $104.71 | Professional | None | $44.67 | $79.43 | $104.71 |
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 $20.42 Median $20.89 Typical High $25.12 | Facility | 52 · Reduced service | $20.42 | $20.89 | $25.12 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $8.32 Typical High $10.00 | Facility | 53 · Discontinued | $8.13 | $8.32 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.42 Median $23.99 Typical High $26.30 | Professional | 52 · Reduced service | $20.42 | $23.99 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.13 Median $9.55 Typical High $10.47 | Professional | 53 · Discontinued | $8.13 | $9.55 | $10.47 |
Where North Dakota sits
The same service costs 2.8 times more in Alaska than in Maryland. 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· 6th of 51
$81.28
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.