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 $1.48 Median $1.70 Typical High $2.00 | Facility | None | $1.48 | $1.70 | $2.00 |
Aetna Setting Professional Modifier None Typical Low $1.48 Median $1.70 Typical High $2.04 | Professional | None | $1.48 | $1.70 | $2.04 |
BCBS North Dakota Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
BCBS North Dakota Setting Professional Modifier None Typical Low $3.55 Median $4.07 Typical High $5.50 | Professional | None | $3.55 | $4.07 | $5.50 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $0.71 Median $0.81 Typical High $1.10 | Professional | 55 · Aftercare only | $0.71 | $0.81 | $1.10 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $5.01 | Professional | None | $2.45 | $3.09 | $5.01 |
Medica Setting Facility Modifier None Typical Low $2.00 Median $2.00 Typical High $5.89 | Facility | None | $2.00 | $2.00 | $5.89 |
Medica Setting Professional Modifier None Typical Low $2.24 Median $2.34 Typical High $13.18 | Professional | None | $2.24 | $2.34 | $13.18 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.24 Typical High $3.47 | Professional | None | $2.14 | $2.24 | $3.47 |
2 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 $1.00 Median $1.00 Typical High $1.20 | Professional | 52 · Reduced service | $1.00 | $1.00 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.40 Median $0.40 Typical High $0.48 | Professional | 53 · Discontinued | $0.40 | $0.40 | $0.48 |
Where North Dakota sits
The same service costs 2.2 times more in North Dakota 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· 1st of 51
$3.55
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.