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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $114.82 Typical High $114.82 | Professional | None | $104.71 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $16.60 Median $16.98 Typical High $19.50 | Professional | 55 · Aftercare only | $16.60 | $16.98 | $19.50 |
BCBS North Dakota Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $275.42 | Professional | None | $177.83 | $229.09 | $275.42 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $213.80 Median $275.42 Typical High $331.13 | Professional | 22 · Increased work | $213.80 | $275.42 | $331.13 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $35.48 Median $45.71 Typical High $54.95 | Professional | 55 · Aftercare only | $35.48 | $45.71 | $54.95 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $223.87 Typical High $281.84 | Professional | None | $128.82 | $223.87 | $281.84 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $338.84 | Facility | None | $114.82 | $114.82 | $338.84 |
Medica Setting Professional Modifier None Typical Low $117.49 Median $223.87 Typical High $691.83 | Professional | None | $117.49 | $223.87 | $691.83 |
United Setting Professional Modifier None Typical Low $117.49 Median $208.93 Typical High $257.04 | Professional | None | $117.49 | $208.93 | $257.04 |
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 $54.95 Median $56.23 Typical High $64.57 | Professional | 52 · Reduced service | $54.95 | $56.23 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $25.70 | Professional | 53 · Discontinued | $22.39 | $22.91 | $25.70 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $11.22 Median $11.48 Typical High $12.88 | Professional | 56 · Pre-op care only | $11.22 | $11.48 | $12.88 |
Where North Dakota sits
The same service costs 2.8 times more in Alaska than in Texas. 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
$214
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.