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 $16.22 Median $18.62 Typical High $19.50 | Professional | None | $16.22 | $18.62 | $19.50 |
BCBS North Dakota Setting Professional Modifier None Typical Low $28.84 Median $33.88 Typical High $44.67 | Professional | None | $28.84 | $33.88 | $44.67 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $5.75 Median $6.76 Typical High $8.91 | Professional | 55 · Aftercare only | $5.75 | $6.76 | $8.91 |
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 $18.62 Median $18.62 Typical High $100.00 | Facility | None | $18.62 | $18.62 | $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 |
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 $16.60 Median $16.60 Typical High $21.88 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $21.88 |
Medica Setting Professional Modifier HO · Master's level Typical Low $19.50 Median $19.50 Typical High $25.70 | Professional | HO · Master's level | $19.50 | $19.50 | $25.70 |
Medica Setting Professional Modifier HP · Doctoral level Typical Low $19.50 Median $19.50 Typical High $25.70 | Professional | HP · Doctoral level | $19.50 | $19.50 | $25.70 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $16.60 Median $16.60 Typical High $21.88 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $21.88 |
United Setting Professional Modifier HO · Master's level Typical Low $19.50 Median $19.50 Typical High $25.70 | Professional | HO · Master's level | $19.50 | $19.50 | $25.70 |
United Setting Professional Modifier HP · Doctoral level Typical Low $19.50 Median $19.50 Typical High $25.70 | Professional | HP · Doctoral level | $19.50 | $19.50 | $25.70 |
Where North Dakota sits
The same service costs 3.4 times more in Wyoming 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· 5th of 51
$33.88
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.