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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $15.85 | Professional | None | $14.45 | $14.45 | $15.85 |
BCBS North Dakota Setting Professional Modifier None Typical Low $13.49 Median $15.49 Typical High $20.89 | Professional | None | $13.49 | $15.49 | $20.89 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $2.69 Median $3.16 Typical High $4.17 | Professional | 55 · Aftercare only | $2.69 | $3.16 | $4.17 |
Cigna Setting Professional Modifier None Typical Low $31.62 Median $39.81 Typical High $39.81 | Professional | None | $31.62 | $39.81 | $39.81 |
Medica Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $100.00 | Facility | None | $14.45 | $14.45 | $100.00 |
Medica Setting Professional Modifier None Typical Low $46.77 Median $70.79 Typical High $177.83 | Professional | None | $46.77 | $70.79 | $177.83 |
United Setting Professional Modifier None Typical Low $30.90 Median $60.26 Typical High $74.13 | Professional | None | $30.90 | $60.26 | $74.13 |
8 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 HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $16.60 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $16.60 |
Medica Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $18.62 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $18.62 |
Medica Setting Professional Modifier HO · Master's level Typical Low $16.60 Median $16.60 Typical High $21.88 | Professional | HO · Master's level | $16.60 | $16.60 | $21.88 |
Medica Setting Professional Modifier HP · Doctoral level Typical Low $16.60 Median $16.60 Typical High $21.88 | Professional | HP · Doctoral level | $16.60 | $16.60 | $21.88 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $12.59 Median $12.59 Typical High $16.60 | Professional | HM · Below bachelor's level | $12.59 | $12.59 | $16.60 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.13 Median $14.13 Typical High $18.62 | Professional | HN · Bachelor's level | $14.13 | $14.13 | $18.62 |
United Setting Professional Modifier HO · Master's level Typical Low $16.60 Median $16.60 Typical High $21.88 | Professional | HO · Master's level | $16.60 | $16.60 | $21.88 |
United Setting Professional Modifier HP · Doctoral level Typical Low $16.60 Median $16.60 Typical High $21.88 | Professional | HP · Doctoral level | $16.60 | $16.60 | $21.88 |
Where North Dakota sits
The same service costs 4.5 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· 18th of 51
$17.78
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.