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 $19.05 | Professional | None | $18.62 | $18.62 | $19.05 |
BCBS North Dakota Setting Professional Modifier None Typical Low $32.36 Median $37.15 Typical High $50.12 | Professional | None | $32.36 | $37.15 | $50.12 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $6.46 Median $7.41 Typical High $10.00 | Professional | 55 · Aftercare only | $6.46 | $7.41 | $10.00 |
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 $18.62 Median $18.62 Typical High $100.00 | Facility | None | $18.62 | $18.62 | $100.00 |
Medica Setting Professional Modifier None Typical Low $28.84 Median $43.65 Typical High $154.88 | Professional | None | $28.84 | $43.65 | $154.88 |
United Setting Professional Modifier None Typical Low $21.88 Median $36.31 Typical High $45.71 | Professional | None | $21.88 | $36.31 | $45.71 |
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 $7.08 Median $7.08 Typical High $9.33 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $9.33 |
Medica Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $8.32 Typical High $10.96 | Professional | HO · Master's level | $8.32 | $8.32 | $10.96 |
Medica Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $10.96 | Professional | HP · Doctoral level | $8.32 | $8.32 | $10.96 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $7.08 Median $7.08 Typical High $9.33 | Professional | HN · Bachelor's level | $7.08 | $7.08 | $9.33 |
United Setting Professional Modifier HO · Master's level Typical Low $8.32 Median $8.32 Typical High $10.96 | Professional | HO · Master's level | $8.32 | $8.32 | $10.96 |
United Setting Professional Modifier HP · Doctoral level Typical Low $8.32 Median $8.32 Typical High $10.96 | Professional | HP · Doctoral level | $8.32 | $8.32 | $10.96 |
Where North Dakota sits
The same service costs 13.2 times more in North Carolina than in Ohio. 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· 4th of 51
$37.15
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.