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 $46.77 Median $52.48 Typical High $61.66 | Facility | None | $46.77 | $52.48 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $61.66 | Professional | None | $46.77 | $54.95 | $61.66 |
BCBS North Dakota Setting Professional Modifier None Typical Low $70.79 Median $97.72 Typical High $131.83 | Professional | None | $70.79 | $97.72 | $131.83 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $14.13 Median $19.95 Typical High $26.30 | Professional | 55 · Aftercare only | $14.13 | $19.95 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $109.65 Typical High $134.90 | Professional | None | $87.10 | $109.65 | $134.90 |
Medica Setting Facility Modifier None Typical Low $58.88 Median $61.66 Typical High $173.78 | Facility | None | $58.88 | $61.66 | $173.78 |
Medica Setting Professional Modifier None Typical Low $81.28 Median $346.74 Typical High $371.54 | Professional | None | $81.28 | $346.74 | $371.54 |
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 $29.51 Median $29.51 Typical High $30.90 | Facility | 52 · Reduced service | $29.51 | $29.51 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.30 | Facility | 53 · Discontinued | $11.75 | $11.75 | $12.30 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $30.90 | Professional | 52 · Reduced service | $29.51 | $29.51 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.30 | Professional | 53 · Discontinued | $11.75 | $11.75 | $12.30 |
Where North Dakota sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 2nd of 51
$89.13
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.