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 $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $117.49 | Professional | None (both parts) | $112.20 | $112.20 | $117.49 |
BCBS North Dakota Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $234.42 | Professional | None (both parts) | $151.36 | $199.53 | $234.42 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $181.97 Median $239.88 Typical High $281.84 | Professional | 22 · Increased work | $181.97 | $239.88 | $281.84 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $30.20 Median $39.81 Typical High $46.77 | Professional | 55 · Aftercare only | $30.20 | $39.81 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $144.54 | $229.09 | $288.40 |
Medica Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $331.13 | Facility | None | $112.20 | $112.20 | $331.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $114.82 Median $223.87 Typical High $691.83 | Professional | None (both parts) | $114.82 | $223.87 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $114.82 | $208.93 | $263.03 |
3 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 $56.23 Median $56.23 Typical High $58.88 | Professional | 52 · Reduced service | $56.23 | $56.23 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $23.44 | Professional | 53 · Discontinued | $22.39 | $22.39 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $251.19 | Professional | TC · Technical part | $138.04 | $199.53 | $251.19 |
Where North Dakota sits
The same service costs 3.2 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
$200
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.