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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $69.18 | Professional | None | $18.62 | $18.62 | $69.18 |
BCBS North Dakota Setting Professional Modifier None Typical Low $40.74 Median $46.77 Typical High $63.10 | Professional | None | $40.74 | $46.77 | $63.10 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $8.13 Median $9.55 Typical High $12.59 | Professional | 55 · Aftercare only | $8.13 | $9.55 | $12.59 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $81.28 Typical High $81.28 | Professional | None | $64.57 | $81.28 | $81.28 |
Medica Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $100.00 | Facility | None | $18.62 | $18.62 | $100.00 |
Medica Setting Professional Modifier None Typical Low $67.61 Median $104.71 Typical High $257.04 | Professional | None | $67.61 | $104.71 | $257.04 |
United Setting Professional Modifier None Typical Low $44.67 Median $87.10 Typical High $107.15 | Professional | None | $44.67 | $87.10 | $107.15 |
6 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 |
|---|---|---|---|---|---|
Medica Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $33.88 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $33.88 |
Medica Setting Professional Modifier HO · Master's level Typical Low $30.20 Median $30.20 Typical High $39.81 | Professional | HO · Master's level | $30.20 | $30.20 | $39.81 |
Medica Setting Professional Modifier HP · Doctoral level Typical Low $30.20 Median $30.20 Typical High $39.81 | Professional | HP · Doctoral level | $30.20 | $30.20 | $39.81 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $25.12 Median $25.12 Typical High $33.88 | Professional | HN · Bachelor's level | $25.12 | $25.12 | $33.88 |
United Setting Professional Modifier HO · Master's level Typical Low $30.20 Median $30.20 Typical High $39.81 | Professional | HO · Master's level | $30.20 | $30.20 | $39.81 |
United Setting Professional Modifier HP · Doctoral level Typical Low $30.20 Median $30.20 Typical High $39.81 | Professional | HP · Doctoral level | $30.20 | $30.20 | $39.81 |
Where North Dakota sits
The same service costs 4.8 times more in Wyoming than in West Virginia. 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
$53.70
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.