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 $181.97 Median $181.97 Typical High $181.97 | Facility | None | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $181.97 Typical High $204.17 | Professional | None | $173.78 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $25.70 Median $27.54 Typical High $30.20 | Professional | 55 · Aftercare only | $25.70 | $27.54 | $30.20 |
BCBS North Dakota Setting Professional Modifier None Typical Low $309.03 Median $407.38 Typical High $467.74 | Professional | None | $309.03 | $407.38 | $467.74 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $371.54 Median $489.78 Typical High $562.34 | Professional | 22 · Increased work | $371.54 | $489.78 | $562.34 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $61.66 Median $81.28 Typical High $93.33 | Professional | 55 · Aftercare only | $61.66 | $81.28 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $446.68 | Facility | None | $389.05 | $389.05 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $190.55 Median $338.84 Typical High $478.63 | Professional | None | $190.55 | $338.84 | $478.63 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $549.54 | Facility | None | $181.97 | $181.97 | $549.54 |
Medica Setting Professional Modifier None Typical Low $181.97 Median $331.13 Typical High $1,122.02 | Professional | None | $181.97 | $331.13 | $1,122.02 |
United Setting Professional Modifier None Typical Low $154.88 Median $239.88 Typical High $363.08 | Professional | None | $154.88 | $239.88 | $363.08 |
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 $87.10 Median $91.20 Typical High $102.33 | Professional | 52 · Reduced service | $87.10 | $91.20 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $36.31 Typical High $40.74 | Professional | 53 · Discontinued | $34.67 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $17.38 Median $18.20 Typical High $20.42 | Professional | 56 · Pre-op care only | $17.38 | $18.20 | $20.42 |
Where North Dakota sits
The same service costs 2.9 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· 5th of 51
$339
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.