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 $87.10 Median $93.33 Typical High $398.11 | Facility | None | $87.10 | $93.33 | $398.11 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $87.10 Typical High $208.93 | Professional | None | $70.79 | $87.10 | $208.93 |
BCBS North Dakota Setting Facility Modifier None Typical Low $186.21 Median $309.03 Typical High $346.74 | Facility | None | $186.21 | $309.03 | $346.74 |
BCBS North Dakota Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $239.88 | Professional | None | $173.78 | $229.09 | $239.88 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $208.93 Median $275.42 Typical High $288.40 | Professional | 22 · Increased work | $208.93 | $275.42 | $288.40 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $34.67 Median $45.71 Typical High $47.86 | Professional | 55 · Aftercare only | $34.67 | $45.71 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $141.25 | Professional | None | $85.11 | $107.15 | $141.25 |
Medica Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $263.03 | Facility | None | $87.10 | $120.23 | $263.03 |
Medica Setting Professional Modifier None Typical Low $69.18 Median $120.23 Typical High $630.96 | Professional | None | $69.18 | $120.23 | $630.96 |
United Setting Professional Modifier None Typical Low $69.18 Median $87.10 Typical High $144.54 | Professional | None | $69.18 | $87.10 | $144.54 |
1 more rate 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $43.65 Median $43.65 Typical High $45.71 | Professional | 52 · Reduced service | $43.65 | $43.65 | $45.71 |
Where North Dakota sits
The same service costs 3.3 times more in Alaska than in Florida. 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· 2nd of 51
$148
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.