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 $63.10 Median $63.10 Typical High $194.98 | Facility | None | $63.10 | $63.10 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $63.10 Typical High $147.91 | Professional | None | $50.12 | $63.10 | $147.91 |
BCBS North Dakota Setting Facility Modifier None Typical Low $125.89 Median $199.53 Typical High $213.80 | Facility | None | $125.89 | $199.53 | $213.80 |
BCBS North Dakota Setting Professional Modifier None Typical Low $120.23 Median $162.18 Typical High $169.82 | Professional | None | $120.23 | $162.18 | $169.82 |
BCBS North Dakota Setting Professional Modifier 22 · Increased work Typical Low $144.54 Median $190.55 Typical High $204.17 | Professional | 22 · Increased work | $144.54 | $190.55 | $204.17 |
BCBS North Dakota Setting Professional Modifier 55 · Aftercare only Typical Low $23.99 Median $32.36 Typical High $33.88 | Professional | 55 · Aftercare only | $23.99 | $32.36 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $75.86 Typical High $100.00 | Professional | None | $60.26 | $75.86 | $100.00 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $100.00 Typical High $190.55 | Facility | None | $63.10 | $100.00 | $190.55 |
Medica Setting Professional Modifier None Typical Low $52.48 Median $64.57 Typical High $436.52 | Professional | None | $52.48 | $64.57 | $436.52 |
United Setting Professional Modifier None Typical Low $52.48 Median $63.10 Typical High $109.65 | Professional | None | $52.48 | $63.10 | $109.65 |
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 $31.62 Median $31.62 Typical High $33.11 | Professional | 52 · Reduced service | $31.62 | $31.62 | $33.11 |
Where North Dakota sits
The same service costs 3.0 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
$110
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.