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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $95.50 | Professional | None | $51.29 | $53.70 | $95.50 |
BCBS North Dakota Setting Professional Modifier None Typical Low $74.13 Median $100.00 Typical High $123.03 | Professional | None | $74.13 | $100.00 | $123.03 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $89.13 Median $120.23 Typical High $147.91 | Professional | 22 · Increased work | $89.13 | $120.23 | $147.91 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $14.79 Median $19.95 Typical High $24.55 | Professional | 55 · Aftercare only | $14.79 | $19.95 | $24.55 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $107.15 Typical High $134.90 | Professional | None | $63.10 | $107.15 | $134.90 |
Medica Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $158.49 | Facility | None | $53.70 | $53.70 | $158.49 |
Medica Setting Professional Modifier None Typical Low $58.88 Median $107.15 Typical High $331.13 | Professional | None | $58.88 | $107.15 | $331.13 |
United Setting Professional Modifier None Typical Low $54.95 Median $97.72 Typical High $123.03 | Professional | None | $54.95 | $97.72 | $123.03 |
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 $26.30 Median $26.92 Typical High $26.92 | Facility | 52 · Reduced service | $26.30 | $26.92 | $26.92 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $10.72 | Facility | 53 · Discontinued | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.30 Median $26.92 Typical High $31.62 | Professional | 52 · Reduced service | $26.30 | $26.92 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $12.88 | Professional | 53 · Discontinued | $10.72 | $10.72 | $12.88 |
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· 6th of 51
$97.72
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.