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 $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $14.13 Typical High $14.13 | Professional | None | $11.48 | $14.13 | $14.13 |
BCBS North Dakota Setting Professional Modifier None Typical Low $2.69 Median $3.09 Typical High $4.07 | Professional | None | $2.69 | $3.09 | $4.07 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $0.52 Median $0.62 Typical High $0.81 | Professional | 55 · Aftercare only | $0.52 | $0.62 | $0.81 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $13.49 Typical High $13.49 | Professional | None | $10.72 | $13.49 | $13.49 |
Medica Setting Facility Modifier None Typical Low $6.61 Median $14.13 Typical High $100.00 | Facility | None | $6.61 | $14.13 | $100.00 |
Medica Setting Professional Modifier None Typical Low $6.61 Median $9.77 Typical High $40.74 | Professional | None | $6.61 | $9.77 | $40.74 |
United Setting Professional Modifier None Typical Low $5.01 Median $8.32 Typical High $10.23 | Professional | None | $5.01 | $8.32 | $10.23 |
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 $9.33 Median $9.33 Typical High $12.30 | Professional | HM · Below bachelor's level | $9.33 | $9.33 | $12.30 |
Medica Setting Professional Modifier HN · Bachelor's level Typical Low $10.47 Median $10.47 Typical High $13.80 | Professional | HN · Bachelor's level | $10.47 | $10.47 | $13.80 |
Medica Setting Professional Modifier HO · Master's level Typical Low $12.30 Median $12.30 Typical High $16.22 | Professional | HO · Master's level | $12.30 | $12.30 | $16.22 |
Medica Setting Professional Modifier HP · Doctoral level Typical Low $12.30 Median $12.30 Typical High $16.22 | Professional | HP · Doctoral level | $12.30 | $12.30 | $16.22 |
United Setting Professional Modifier HM · Below bachelor's level Typical Low $9.33 Median $9.33 Typical High $12.30 | Professional | HM · Below bachelor's level | $9.33 | $9.33 | $12.30 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $10.47 Median $10.47 Typical High $13.80 | Professional | HN · Bachelor's level | $10.47 | $10.47 | $13.80 |
United Setting Professional Modifier HO · Master's level Typical Low $12.30 Median $12.30 Typical High $16.22 | Professional | HO · Master's level | $12.30 | $12.30 | $16.22 |
United Setting Professional Modifier HP · Doctoral level Typical Low $12.30 Median $12.30 Typical High $16.22 | Professional | HP · Doctoral level | $12.30 | $12.30 | $16.22 |
Where North Dakota sits
The same service costs 11.0 times more in Washington, DC than in Alabama. 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· 48th of 51
$4.07
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.