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 $91.20 Median $102.33 Typical High $120.23 | Facility | None | $91.20 | $102.33 | $120.23 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $109.65 Typical High $128.82 | Professional | None | $91.20 | $109.65 | $128.82 |
BCBS North Dakota Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $199.53 | Facility | None | $190.55 | $190.55 | $199.53 |
BCBS North Dakota Setting Professional Modifier None Typical Low $158.49 Median $218.78 Typical High $288.40 | Professional | None | $158.49 | $218.78 | $288.40 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $43.65 Typical High $57.54 | Professional | 55 · Aftercare only | $31.62 | $43.65 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $181.97 | Professional | None | $131.83 | $144.54 | $181.97 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $120.23 Typical High $331.13 | Facility | None | $109.65 | $120.23 | $331.13 |
Medica Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $741.31 | Professional | None | $120.23 | $144.54 | $741.31 |
United Setting Professional Modifier None Typical Low $120.23 Median $141.25 Typical High $218.78 | Professional | None | $120.23 | $141.25 | $218.78 |
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 $54.95 Median $60.26 Typical High $60.26 | Facility | 52 · Reduced service | $54.95 | $60.26 | $60.26 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $23.99 | Facility | 53 · Discontinued | $21.88 | $23.99 | $23.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $54.95 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $21.88 | $23.99 | $23.99 |
Where North Dakota sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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
$174
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.